Boisvert, Leo R

Boisvert, Leo R is an individual health care provider with primary practice located at 101 Malabu Dr Suite #10, Lexington KY 40503-3141. He recently has only one registered license in Chiropractic Providers / Pediatric Chiropractor, which is considered as his primary health care specialty. Boisvert, Leo R can be contacted via phone (859) 277-7521.

Contact Information

Primary practice address
101 Malabu Dr Suite #10 Lexington KY 40503-3141
Phone: (859) 277-7521
Fax: (859) 275-2020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Pediatric Chiropractor 111NP0017X 5052 Kentucky

Profile Details

NPI number 1912924655
LBN Legal business name Boisvert, Leo R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Aug 27th, 2012 - about 13 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 1912924655 NPPES
Pennsylvania MEDICAID 0017382990001

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