Boulos, Susie
Boulos, Susie is an individual health care provider with primary practice located at 1030 Jefferson Ave , Memphis TN 38104-2127. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Boulos, Susie can be contacted via phone (901) 523-8990.Contact Information
Primary practice address
1030 Jefferson Ave
Memphis TN 38104-2127
Phone: (901) 523-8990
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 27769 | Tennessee |
Profile Details
| NPI number | 1174533145 |
|---|---|
| LBN Legal business name | Boulos, Susie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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