Boynton, Cynthia G
Boynton, Cynthia G is an sole proprietor health care provider with primary practice located at 410 Lincoln Way East , Mishawaka IN 46544. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Boynton, Cynthia G can be contacted via phone (574) 259-5653.Contact Information
Primary practice address
410 Lincoln Way East
Mishawaka IN 46544
Phone: (574) 259-5653
Fax: (574) 259-5654
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | Illinois | |
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | Illinois |
Profile Details
NPI number | 1881886653 |
---|---|
LBN Legal business name | Boynton, Cynthia G |
Credentials | LICENSED DIETICIAN N |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 15th, 2007 |
Last updated | Aug 15th, 2007 - about 18 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 | 1881886653 | NPPES |
Illinois | Other | 01635133 | BLUE CROSS BLUE SHIELD |
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