Boadwine, Brian

Boadwine, Brian is an sole proprietor health care provider with primary practice located at 100 Bryan Chalk Ln Knightdale High School, Knightdale NC 27545-6712. 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. Boadwine, Brian can be contacted via phone (919) 217-5350.

Contact Information

Primary practice address
100 Bryan Chalk Ln Knightdale High School Knightdale NC 27545-6712
Phone: (919) 217-5350
Fax: (919) 217-5356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1684 North Carolina

Profile Details

NPI number 1205253622
LBN Legal business name Boadwine, Brian
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2014
Last updated Mar 24th, 2014 - about 10 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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