Boughman, Arvis Bennett

Boughman, Arvis Bennett is an sole proprietor health care provider with primary practice located at 202 Mimosa Drive , Drexel NC 28619-2795. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Boughman, Arvis Bennett can be contacted via phone (828) 443-4395.

Contact Information

Primary practice address
202 Mimosa Drive Drexel NC 28619-2795
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP 4704 North Carolina

Profile Details

NPI number 1194872275
LBN Legal business name Boughman, Arvis Bennett
Credentials MACCCSLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Jul 9th, 2007 - about 19 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 1194872275 NPPES
North Carolina MEDICAID 7411307

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