Boivin, Kevin Emmett

Boivin, Kevin Emmett is an sole proprietor health care provider with primary practice located at 14950 W Mountain View Blvd Apt 7205 , Surprise AZ 85374-4722. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Boivin, Kevin Emmett can be contacted via phone (219) 688-4179.

Contact Information

Primary practice address
14950 W Mountain View Blvd Apt 7205 Surprise AZ 85374-4722
Phone: (219) 688-4179
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA.60745513 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT-28141 Arizona

Profile Details

NPI number 1730619131
LBN Legal business name Boivin, Kevin Emmett
Credentials Medical Technologist (MT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2017
Last updated Jan 4th, 2022 - about 3 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 1730619131 NPPES
Washington Other 1972655132 REGENCE

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