Boulware, Bobbie

Boulware, Bobbie is an individual health care provider with primary practice located at 1500 Chadford Rd , Irmo SC 29063-2038. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Boulware, Bobbie can be contacted via phone (803) 476-4001.

Contact Information

Primary practice address
1500 Chadford Rd Irmo SC 29063-2038
Phone: (803) 476-4001
Fax: (803) 476-4020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 51307 South Carolina

Profile Details

NPI number 1275978884
LBN Legal business name Boulware, Bobbie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2013
Last updated May 9th, 2013 - about 11 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 1275978884 NPPES
South Carolina MEDICAID 51307

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