Boulware, Austyn Lynnell
Boulware, Austyn Lynnell is an individual health care provider with primary practice located at 23225 Thorncliffe St , Southfield MI 48033-6559. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Boulware, Austyn Lynnell can be contacted via phone (586) 917-2338.Contact Information
Primary practice address
23225 Thorncliffe St
Southfield MI 48033-6559
Phone: (586) 917-2338
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | B460084564641 | Michigan |
Profile Details
| NPI number | 1326504994 |
|---|---|
| LBN Legal business name | Boulware, Austyn Lynnell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2019 |
| Last updated | Feb 19th, 2019 - about 7 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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