Bouknight, Gayla Denise
Bouknight, Gayla Denise is an sole proprietor health care provider with primary practice located at 8213 Spring Flower Rd , Columbia SC 29223-5640. She recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as her primary health care specialty. Bouknight, Gayla Denise can be contacted via phone (803) 419-6781.Contact Information
Primary practice address
8213 Spring Flower Rd
Columbia SC 29223-5640
Phone: (803) 419-6781
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Voluntary or Charitable | 251V00000X | V04797 | South Carolina |
Profile Details
| NPI number | 1568503019 |
|---|---|
| LBN Legal business name | Bouknight, Gayla Denise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568503019 | NPPES |
| South Carolina | MEDICAID | V04797 |
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