Boylan, Bridget M
Boylan, Bridget M is an sole proprietor health care provider with primary practice located at 517 E Magnolia St , Bellingham WA 98225-4529. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Boylan, Bridget M can be contacted via phone (503) 610-0834.Contact Information
Primary practice address
517 E Magnolia St
Bellingham WA 98225-4529
Phone: (503) 610-0834
Fax: (888) 746-2736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AC2691 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5456 | Washington |
Profile Details
| NPI number | 1922195916 |
|---|---|
| LBN Legal business name | Boylan, Bridget M |
| Credentials | PT, LAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Mar 25th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922195916 | NPPES |
| Washington | MEDICAID | 7095565 | |
| Washington | Other | 6275BO | |
| Washington | Other | 6515BO | |
| Washington | Other | 5250BO | |
| Washington | Other | 0124051 | |
| Washington | Other | 2370BO | |
| Washington | Other | 256BO | |
| Washington | Other | 0152BO |
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