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
Phone: (469) 260-8872
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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