Philip Charles Boulanger

LBN: Philip Charles Boulanger
Philip Charles Boulanger is an health care organization with primary practice located at 9401 Fernleigh Dr , Richmond VA 23235-1311. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Philip Charles Boulanger can be contacted via phone (804) 389-2606, or through Boulanger, Philip Charles via phone (804) 389-2606.

Contact Information

Primary practice address
9401 Fernleigh Dr Richmond VA 23235-1311
Phone: (804) 389-2606
Fax: (804) 747-0643
Website:
Map and Directions
Authorized official contact:
Name: Boulanger, Philip Charles Doctor of Medicine (MD)
Phone: (804) 389-2606

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1144429564
LBN Legal business name Philip Charles Boulanger
DBA Doing business as
Authorized official Boulanger, Philip Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2007
Last updated Jun 26th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144429564 NPPES
Virginia Other 190001514 MEDICARE GROUP#

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