Bolduc, Donald Gaylord

Bolduc, Donald Gaylord is an sole proprietor health care provider with primary practice located at 3180 Enterprise Rd E , Safety Harbor FL 34695-5205. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Bolduc, Donald Gaylord can be contacted via phone (727) 725-4761.

Contact Information

Primary practice address
3180 Enterprise Rd E Safety Harbor FL 34695-5205
Phone: (727) 725-4761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 125538591 Florida

Profile Details

NPI number 1427355395
LBN Legal business name Bolduc, Donald Gaylord
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2011
Last updated Feb 11th, 2011 - about 15 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 1427355395 NPPES
Florida MEDICAID 764074900

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