Boulden, Mark Edward

Boulden, Mark Edward is an individual health care provider with primary practice located at 2185 N Fraser St , Georgetown SC 29440-6418. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Boulden, Mark Edward can be contacted via phone (843) 527-1800.

Contact Information

Primary practice address
2185 N Fraser St Georgetown SC 29440-6418
Fax: (843) 527-6528
Website:

Health care specialties

Profile Details

NPI number 1053764977
LBN Legal business name Boulden, Mark Edward
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2016
Last updated Jul 15th, 2016 - 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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