Boboltz, Jordan

Boboltz, Jordan is an individual health care provider with primary practice located at 1221 Profit Dr , Dallas TX 75247-3919. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Boboltz, Jordan can be contacted via phone (469) 404-1113.

Contact Information

Primary practice address
1221 Profit Dr Dallas TX 75247-3919
Phone: (469) 404-1113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1477288314
LBN Legal business name Boboltz, Jordan
Credentials OTR, ATP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2022
Last updated Jul 22nd, 2022 - 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.

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