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:
Health care specialties
Specialty | Code | License # | 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 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275978884 | NPPES |
South Carolina | MEDICAID | 51307 |
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