Boudrie, Dana
Boudrie, Dana is an sole proprietor health care provider with primary practice located at 1234 Ridgewood Dr , Bowling Green OH 43402-2696. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Boudrie, Dana can be contacted via phone (855) 289-1722.Contact Information
Primary practice address
1234 Ridgewood Dr
Bowling Green OH 43402-2696
Phone: (855) 289-1722
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1932748613 |
|---|---|
| LBN Legal business name | Boudrie, Dana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2019 |
| Last updated | Dec 30th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932748613 | NPPES |
| Ohio | MEDICAID | 2910854 |
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