Boldry, Thomas Craig

Boldry, Thomas Craig is an individual health care provider with primary practice located at 550 Rush Creek Pkwy Suite A, Liberty MO 64068-9608. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Boldry, Thomas Craig can be contacted via phone (816) 455-1155.

Contact Information

Primary practice address
550 Rush Creek Pkwy Suite A Liberty MO 64068-9608
Phone: (816) 455-1155
Fax: (816) 455-1161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000575 Missouri
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 12-00227 Kansas

Profile Details

NPI number 1437159217
LBN Legal business name Boldry, Thomas Craig
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Sep 9th, 2011 - about 13 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 1437159217 NPPES
Missouri MEDICAID 302817903

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