Boullion, Christopher Garrett

Boullion, Christopher Garrett is an individual health care provider with primary practice located at 920 Doug White Dr Ste 130 , Myrtle Beach SC 29572-4180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Boullion, Christopher Garrett can be contacted via phone (843) 848-1440.

Contact Information

Primary practice address
920 Doug White Dr Ste 130 Myrtle Beach SC 29572-4180
Phone: (843) 848-1440
Fax: (843) 839-1654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5101016197 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 1429 South Carolina

Profile Details

NPI number 1730201112
LBN Legal business name Boullion, Christopher Garrett
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Jan 26th, 2022 - about 2 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 1730201112 NPPES
South Carolina MEDICAID 01429100

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