Mr Christopher Roy Boulanger, LPN is a
Licensed Practical Nurse based in Bethlehem, Connecticut. Mr Christopher Roy Boulanger is licensed to practice in New York (license number 293066-1) and his current practice location is
33 Sanford Ln, Bethlehem, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(203) 980-1421.
NPI number for Mr Christopher Roy Boulanger is 1578705422 and his current mailing address is 33 Sanford Ln, Bethlehem, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578705422.
Provider's Profile
Full Name | Mr Christopher Roy Boulanger |
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Gender | Male |
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Speciality | Licensed Practical Nurse |
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Location | 33 Sanford Ln, Bethlehem, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578705422
- Provider Enumeration Date: 03/24/2009
- Last Update Date: 03/24/2009
Medical Identifiers
Medical identifiers for Mr Christopher Roy Boulanger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578705422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 293066-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Christopher Roy Boulanger is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Christopher Roy Boulanger, LPN 33 Sanford Ln, Bethlehem, CT 06751-1816 Ph: (203) 980-1421 | Mr Christopher Roy Boulanger, LPN 33 Sanford Ln, Bethlehem, CT 06751-1816 Ph: (203) 980-1421 |
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