Bouligny, Randy Peter

Bouligny, Randy Peter is an sole proprietor health care provider with primary practice located at 409 Avenue F , Bogalusa LA 70427-3633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bouligny, Randy Peter can be contacted via phone (504) 455-1816.

Contact Information

Primary practice address
409 Avenue F Bogalusa LA 70427-3633
Fax: (504) 887-7816
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 021802 Louisiana

Profile Details

NPI number 1609808294
LBN Legal business name Bouligny, Randy Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Mar 28th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609808294 NPPES
Louisiana MEDICAID 1627593

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