Bolduc Employment Support & Training, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

BOLDUC EMPLOYMENT SUPPORT & TRAINING, LLC

Practice address

175 Lancaster Street
Suite 218a
Portland, ME 04101

Phone

(207) 774-8700

Fax

(207) 774-8700

NPI assigned

Oct 18, 2010

Last updated

Oct 18, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura J Bolduc

Title

Member

Phone

(207) 774-8700

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1851601421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 LANCASTER STREET",
            "address_2": "SUITE 218A",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04101",
            "telephone_number": "207-774-8700",
            "fax_number": "207-774-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LANCASTER STREET",
            "address_2": "SUITE 218A",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04101",
            "telephone_number": "207-774-8700",
            "fax_number": "207-774-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLDUC EMPLOYMENT SUPPORT & TRAINING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "BOLDUC",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "207-774-8700"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erich J Bohrmann, PA-C
• Valerie Melissa Boisvert, LCSW
• Cody Boivin
• Sandra Lin Boland, RDH
• David W Boldebook, L.C.S.W.
• Clay Lawrence Bolduc, PHARMD, RPH
• Kaitlin Bolduc, CRNA
• Leonie Boller, DO
• Cynthia J Bolles, PA-C
• Thomas M Bolles, M.D.

• Developmentally Disabled Services Day Training Agency in Portland, ME
• Providers in Portland, ME by specialty
• Developmentally Disabled Services Day Training Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.