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Contact Information

MACLEAN BOADU
405 KNOLLWOOD CT
STAFFORD, VA22554-7561
 Phone: 703-798-5134
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for MACLEAN BOADU · (Male)

NPI # 1992345573
Status Active
Credentials
Entity Individual
Enumeration date 01/10/2020
Last updated 01/10/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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