Bockholt, Justin Robert

Bockholt, Justin Robert is an individual health care provider with primary practice located at 1158 Quince Ave , Sunnyvale CA 94087-2321. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Bockholt, Justin Robert can be contacted via phone (408) 505-7244.

Contact Information

Primary practice address

1158 Quince Ave Sunnyvale CA 94087-2321

Phone: (408) 505-7244

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer	2255A2300X	F4886105	California

Profile Details

NPI number	1316473309
LBN Legal business name	Bockholt, Justin Robert
Credentials
Entity	Individual
Sole proprietor ¹	No
Enumeration date	May 11th, 2017
Last updated	May 11th, 2017 - about 7 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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