Bold, E. Luke

Bold, E. Luke is an individual health care provider with primary practice located at 7580 Auburn Road #103, Painesville OH 44077. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Bold, E. Luke can be contacted via phone (440) 352-1474.

Contact Information

Primary practice address
7580 Auburn Road #103 Painesville OH 44077
Phone: (440) 352-1474
Fax: (440) 352-2662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35-060315 Ohio
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35-060315 Ohio

Profile Details

NPI number 1366412827
LBN Legal business name Bold, E. Luke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jan 15th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366412827 NPPES
Ohio Other 000000133452 ANTHEM
Ohio Other 104632 ANTHEM
Ohio Other 040006752 ANTHEM
Ohio MEDICAID 0878153 ANTHEM
Ohio Other 3415313198A13 ANTHEM
Ohio Other 71405 ANTHEM

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