Boodram, Mckennizie

Boodram, Mckennizie is an individual health care provider with primary practice located at 1525 Mountain Laurel Ln , Desoto TX 75115-5394. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Boodram, Mckennizie can be contacted via phone (469) 260-8872.

Contact Information

Primary practice address
1525 Mountain Laurel Ln Desoto TX 75115-5394
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X AT6271 Texas

Profile Details

NPI number 1033586003
LBN Legal business name Boodram, Mckennizie
Credentials Licensed Athletic Trainer (LAT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2015
Last updated Aug 26th, 2015 - about 9 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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