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PHILIP CHARLES BOULANGER NPI 1144429564


NPI Information

NPI: 1144429564
Provider Name: PHILIP CHARLES BOULANGER
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
9401 FERNLEIGH DR
RICHMOND, VA
ZIP 23235
Phone: (804) 389-2606
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PHILIP CHARLES BOULANGER is a general practice in Richmond, VA. PHILIP CHARLES BOULANGER NPI is 1144429564. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9401 FERNLEIGH DR
RICHMOND, VA
ZIP 23235-311
Phone: (804) 389-2606
Fax: (804) 747-0643

The provider's authorized official is Philip Charles Boulanger .
The authorized official title is Owner/president and has the following contact phone number (804) 389-2606.

The enumeration date for this NPI number is 7/16/2007 and was last updated on 6/26/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1190001514OTHERVIRGINIAMEDICARE GROUP#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.