Bouldin, Charles Edward

Bouldin, Charles Edward is an sole proprietor health care provider with primary practice located at 4749 S Eason Blvd Suite A, Tupelo MS 38801-6547. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bouldin, Charles Edward can be contacted via phone (662) 842-3336.

Contact Information

Primary practice address
4749 S Eason Blvd Suite A Tupelo MS 38801-6547
Phone: (662) 842-3336
Fax: (662) 842-3363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT0198 Mississippi

Profile Details

NPI number 1679690101
LBN Legal business name Bouldin, Charles Edward
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Nov 8th, 2010 - about 16 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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