Boules, Fady
Boules, Fady is an individual health care provider with primary practice located at 2002 N Fine Ave Unit 101 , Fresno CA 93727-1511. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Boules, Fady can be contacted via phone (951) 722-0801.Contact Information
Primary practice address
2002 N Fine Ave Unit 101
Fresno CA 93727-1511
Phone: (951) 722-0801
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95003306 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 95003306 | California |
Profile Details
| NPI number | 1639541022 |
|---|---|
| LBN Legal business name | Boules, Fady |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2015 |
| Last updated | Mar 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639541022 | NPPES |
| California | Other | D4304887 | DRIVER LIC |
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