Boulay, Joseph Alfred

Boulay, Joseph Alfred is an sole proprietor health care provider with primary practice located at 6198 52Nd St S , St Petersburg FL 33715-2405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Boulay, Joseph Alfred can be contacted via phone (727) 410-6399.

Contact Information

Primary practice address
6198 52Nd St S St Petersburg FL 33715-2405
Phone: (727) 410-6399
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0040296 Florida

Profile Details

NPI number 1962467910
LBN Legal business name Boulay, Joseph Alfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2006
Last updated Nov 17th, 2020 - about 6 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 1962467910 NPPES
Florida MEDICAID 102026500
Florida Other LQ519
Florida MEDICAID 257246000

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