Bolden, Jacquelyn Anderson
Bolden, Jacquelyn Anderson is an sole proprietor health care provider with primary practice located at 618 Kellogg St , Plymouth MI 48170-1707. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bolden, Jacquelyn Anderson can be contacted via phone (734) 207-5372.Contact Information
Primary practice address
618 Kellogg St
Plymouth MI 48170-1707
Phone: (734) 207-5372
Fax: (734) 207-5372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 52201007062 | Michigan |
Profile Details
| NPI number | 1568733871 |
|---|---|
| LBN Legal business name | Bolden, Jacquelyn Anderson |
| Credentials | PHD, OT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2012 |
| Last updated | Jan 18th, 2012 - about 13 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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