Bolduc, Mackenzie Lynn

Bolduc, Mackenzie Lynn is an individual health care provider with primary practice located at 1964 Sheridan Rd , San Bernardino CA 92407-4696. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Bolduc, Mackenzie Lynn can be contacted via phone (760) 987-0742.

Contact Information

Primary practice address
1964 Sheridan Rd San Bernardino CA 92407-4696
Phone: (760) 987-0742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X RT007068 Pennsylvania

Profile Details

NPI number 1295243491
LBN Legal business name Bolduc, Mackenzie Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2018
Last updated Nov 25th, 2019 - about 5 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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