Active NPIIndividual provider

Mr. Christopher R Boulanger, LPN

Licensed Practical Nurse in Bethlehem, Connecticut

NPI Number1578705422
Practice location
33 Sanford Ln, Bethlehem, CT 06751-1816
Fax
—
Last updated
March 24, 2009

Christopher Roy Boulanger is a Licensed Practical Nurse based in Bethlehem, CT. Christopher Roy Boulanger practices in Bethlehem, CT and has the professional credentials of LPN. The NPI Number for Christopher Roy Boulanger is 1578705422 and holds a License No. 293066-1 (NY). The current practice location address for Christopher Roy Boulanger is 33 Sanford Ln, Bethlehem, CT 06751-1816 and can be reached out via phone at 203-980-1421.

Provider Profile Details

NPI Number
1578705422
Provider Name
Christopher Roy Boulanger
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
33 Sanford Ln, Bethlehem, CT 06751-1816
Phone Number
203-980-1421
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
No
Provider Enumeration Date
March 24, 2009
Last Update Date
March 24, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Sanford Ln
Bethlehem, CT 06751-1816
Zip
06751-1816
Phone Number
203-980-1421
Bethlehem, CT 06751Get directions →

Provider Business Mailing Address Details

Address
33 Sanford Ln
Bethlehem, CT 06751-1816
City
Bethlehem
State
CT
Zip
06751-1816
Phone Number
203-980-1421

License Information

License Number
293066-1
License State
NY
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Christopher R Boulanger, LPN?

The NPI number of Mr. Christopher R Boulanger, LPN is 1578705422. It was assigned on March 24, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Christopher R Boulanger, LPN?

Mr. Christopher R Boulanger, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 293066-1.

Where does Mr. Christopher R Boulanger, LPN practice?

The practice location is 33 Sanford Ln, Bethlehem, CT 06751-1816. The office can be reached at 203-980-1421 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578705422 directly on the NPPES registry website.

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