Mr Arvis Bennett Boughman, MACCCSLP is a
Speech-language Pathologist based in Drexel, North Carolina. Mr Arvis Bennett Boughman is licensed to practice in North Carolina (license number SLP 4704) and his current practice location is
202 Mimosa Drive, Drexel, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(828) 443-4395.
NPI number for Mr Arvis Bennett Boughman is 1194872275 and his current mailing address is Po Box 2795, 202 Mimosa Drive, Drexel, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194872275.
Healthcare Provider's Profile
Full Name | Mr Arvis Bennett Boughman |
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Gender | Male |
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Speciality | Speech-language Pathologist |
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Location | 202 Mimosa Drive, Drexel, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194872275
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Arvis Bennett Boughman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194872275 | NPI | - | NPPES |
7411307 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SLP 4704 (North Carolina) | 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 Arvis Bennett Boughman 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 Arvis Bennett Boughman, MACCCSLP Po Box 2795, 202 Mimosa Drive, Drexel, NC 28619-2795 Ph: (828) 443-4395 | Mr Arvis Bennett Boughman, MACCCSLP 202 Mimosa Drive, Drexel, NC 28619-2795 Ph: (828) 443-4395 |
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