Bolgiano, Madison Rae

Bolgiano, Madison Rae is an sole proprietor health care provider with primary practice located at 4212 W Congress St Ste 3100 , Lafayette LA 70506-6771. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bolgiano, Madison Rae can be contacted via phone (337) 703-3220.

Contact Information

Primary practice address
4212 W Congress St Ste 3100 Lafayette LA 70506-6771
Phone: (337) 703-3220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1114698404
LBN Legal business name Bolgiano, Madison Rae
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2021
Last updated Sep 26th, 2021 - about 5 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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