Boulware, James Brian

Boulware, James Brian is an sole proprietor health care provider with primary practice located at 475 Bruce Way Sw , Lilburn GA 30047-3025. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Boulware, James Brian can be contacted via phone (678) 764-6364.

Contact Information

Primary practice address
475 Bruce Way Sw Lilburn GA 30047-3025
Phone: (678) 764-6364
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT001328 Georgia

Profile Details

NPI number 1982739041
LBN Legal business name Boulware, James Brian
Credentials MA, ATC, OTC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated May 25th, 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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