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
Phone: (843) 527-1800
Fax: (843) 527-6528
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1667 | South Carolina |
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.
Popular Providers
-
Zawadzki, Amy
133 N River St , Wilkes-Barre PA 18711 -
Hazelton, Ian
252 North Main Street Eastern Rehabilitation Network 5Th Floor, Manchester CT 06040 -
Devault, Christopher
606 Black River Rd , Georgetown SC 29440-3304 -
Ford, Sarah G
13575 Heathcote Blvd , Gainesville VA 20155-6660 -
Zuerlein, Austin Brian
16792 Talisman Ln Apt. 104, Huntington Beach CA 92649-3136 -
Hazelton, Traci
445 South Main Street Eastern Rehabilitation Network 5Th Floor, West Hartford CT 06110 -
Pauls, Bruce Dale
616 W Platt St , Maquoketa IA 52060-2118 -
Brunett, Marisa
3403 Technological Ave Suite 2, Orlando FL 32817-1476