Bolden, Larry

Bolden, Larry is an individual health care provider with primary practice located at 2939 Russell St , Detroit MI 48207-4825. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Bolden, Larry can be contacted via phone (313) 396-5300.

Contact Information

Primary practice address
2939 Russell St Detroit MI 48207-4825
Phone: (313) 396-5300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 6803086288 Michigan

Profile Details

NPI number 1265772446
LBN Legal business name Bolden, Larry
Credentials BA, SST
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2013
Last updated Feb 25th, 2013 - about 13 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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