Boynton, Cynthia G

Boynton, Cynthia G is an sole proprietor health care provider with primary practice located at 410 Lincoln Way East , Mishawaka IN 46544. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Boynton, Cynthia G can be contacted via phone (574) 259-5653.

Contact Information

Primary practice address
410 Lincoln Way East Mishawaka IN 46544
Phone: (574) 259-5653
Fax: (574) 259-5654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X Illinois
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X Illinois

Profile Details

NPI number 1881886653
LBN Legal business name Boynton, Cynthia G
Credentials LICENSED DIETICIAN N
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2007
Last updated Aug 15th, 2007 - about 19 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 1881886653 NPPES
Illinois Other 01635133 BLUE CROSS BLUE SHIELD

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