Boudreaux, Alison Ann

Boudreaux, Alison Ann is an individual health care provider with primary practice located at 2625 Fair Oaks Blvd Suite 1, Sacramento CA 95864-4936. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Boudreaux, Alison Ann can be contacted via phone (916) 646-3376.

Contact Information

Primary practice address
2625 Fair Oaks Blvd Suite 1 Sacramento CA 95864-4936
Phone: (916) 646-3376
Fax: (916) 646-3336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G076779 California

Profile Details

NPI number 1093782120
LBN Legal business name Boudreaux, Alison Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Mar 7th, 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 1093782120 NPPES
California Other 43-2054849 TAX ID
California Other G076779 TAX ID

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