Boghdadi, Peter

Boghdadi, Peter is an sole proprietor health care provider with primary practice located at 350 Shaw Ave , Southern Pines NC 28387-6237. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Boghdadi, Peter can be contacted via phone (910) 580-8280.

Contact Information

Primary practice address
350 Shaw Ave Southern Pines NC 28387-6237
Phone: (910) 580-8280
Fax: (910) 304-5633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 11312 North Carolina

Profile Details

NPI number 1083969521
LBN Legal business name Boghdadi, Peter
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2012
Last updated Jan 18th, 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 1083969521 NPPES
North Carolina MEDICAID 1083969521

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