Boulware, Austyn Lynnell

Boulware, Austyn Lynnell is an individual health care provider with primary practice located at 23225 Thorncliffe St , Southfield MI 48033-6559. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Boulware, Austyn Lynnell can be contacted via phone (586) 917-2338.

Contact Information

Primary practice address
23225 Thorncliffe St Southfield MI 48033-6559
Phone: (586) 917-2338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X B460084564641 Michigan

Profile Details

NPI number 1326504994
LBN Legal business name Boulware, Austyn Lynnell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2019
Last updated Feb 19th, 2019 - about 6 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.

Request for update

Popular Providers