Boldman, Ricky

Boldman, Ricky is an individual health care provider with primary practice located at 461 W Huron St Suite 207, Pontiac MI 48341-1601. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Boldman, Ricky can be contacted via phone (248) 857-7160.

Contact Information

Primary practice address
461 W Huron St Suite 207 Pontiac MI 48341-1601
Phone: (248) 857-7160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601001019 Michigan

Profile Details

NPI number 1437126323
LBN Legal business name Boldman, Ricky
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 16th, 2007 - about 17 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.

Request for update

Popular Providers