Bolduc, Bryan

Bolduc, Bryan is an individual health care provider with primary practice located at 800 Scenic Dr , Modesto CA 95350-6131. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Nursing Service Related Providers / Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Bolduc, Bryan can be contacted via phone (209) 525-6150.

Contact Information

Primary practice address
800 Scenic Dr Modesto CA 95350-6131
Phone: (209) 525-6150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Nursing Service Related Providers / Technician 374700000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1396386934
LBN Legal business name Bolduc, Bryan
Credentials CATC II
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2019
Last updated Feb 13th, 2024 - about 2 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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