Bouffard, Cynthia Kay
Bouffard, Cynthia Kay is an individual health care provider with primary practice located at 20960 S Frankfort Square Rd Ste C , Frankfort IL 60423-5127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bouffard, Cynthia Kay can be contacted via phone (815) 469-7100.Contact Information
Primary practice address
20960 S Frankfort Square Rd Ste C
Frankfort IL 60423-5127
Phone: (815) 469-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209001979 | Illinois |
Profile Details
| NPI number | 1023192432 |
|---|---|
| LBN Legal business name | Bouffard, Cynthia Kay |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Aug 8th, 2022 - about 4 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 | 1023192432 | NPPES |
| Illinois | Other | P00226129 | RR MEDICARE |
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