Boldman, Larry Arnold

Boldman, Larry Arnold is an sole proprietor health care provider with primary practice located at 1907 11Th St , Portsmouth OH 45662-4531. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Boldman, Larry Arnold can be contacted via phone (513) 941-4999.

Contact Information

Primary practice address
1907 11Th St Portsmouth OH 45662-4531
Phone: (513) 941-4999
Fax: (513) 694-0168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X QMHS.MASTERS Ohio
Other Service Providers / Peer Specialist 175T00000X APS.002206 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCII.161861 Ohio

Profile Details

NPI number 1326634924
LBN Legal business name Boldman, Larry Arnold
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2020
Last updated May 10th, 2023 - about last year

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 1326634924 NPPES
Ohio MEDICAID 0441111

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