Boudewijn, Rob S

Boudewijn, Rob S is an individual health care provider with primary practice located at 6 E Chestnut St , Augusta ME 04330-5717. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Boudewijn, Rob S can be contacted via phone (207) 626-1303.

Contact Information

Primary practice address
6 E Chestnut St Augusta ME 04330-5717
Phone: (207) 626-1303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA439 Maine

Profile Details

NPI number 1861453680
LBN Legal business name Boudewijn, Rob S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 2nd, 2008 - about 17 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 1861453680 NPPES
Maine MEDICAID 154420000

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