Boulware, Renee
Boulware, Renee is an individual health care provider with primary practice located at 4811 Buckley Rd , Liverpool NY 13088-3676. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Boulware, Renee can be contacted via phone (315) 457-9966.Contact Information
Primary practice address
4811 Buckley Rd
Liverpool NY 13088-3676
Phone: (315) 457-9966
Fax: (315) 457-9854
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2900860 | New York |
Profile Details
NPI number | 1982023222 |
---|---|
LBN Legal business name | Boulware, Renee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 15th, 2014 |
Last updated | Oct 1st, 2020 - about 4 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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