Boardman, Robert Ray

Boardman, Robert Ray is an individual health care provider with primary practice located at 12464 La Grange Rd , Louisville KY 40245-1901. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Boardman, Robert Ray can be contacted via phone (502) 205-2090.

Contact Information

Primary practice address
12464 La Grange Rd Louisville KY 40245-1901
Phone: (502) 205-2090
Fax: (502) 205-2091
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4366 Kentucky

Profile Details

NPI number 1467459529
LBN Legal business name Boardman, Robert Ray
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Nov 20th, 2023 - about 3 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 1467459529 NPPES
Kentucky Other 000000192198 ANTHEM BCBS
Kentucky Other 000000088188 ANTHEM BCBS
Kentucky Other 7646218 ANTHEM BCBS

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