Boehnert, Mandy Marie

Boehnert, Mandy Marie is an sole proprietor health care provider with primary practice located at 200 Seabury Dr , Bloomfield CT 06002-5618. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Boehnert, Mandy Marie can be contacted via phone (860) 243-4022.

Contact Information

Primary practice address
200 Seabury Dr Bloomfield CT 06002-5618
Phone: (860) 243-4022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 035656 Connecticut

Profile Details

NPI number 1992467955
LBN Legal business name Boehnert, Mandy Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2021
Last updated Oct 7th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992467955 NPPES
Connecticut Other 075383 CCN

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