Bolds, Jackie A

Bolds, Jackie A is an sole proprietor health care provider with primary practice located at 6066 Civic Terrace Ave , Newark CA 94560. He recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as his primary health care specialty. Bolds, Jackie A can be contacted via phone (510) 505-1600.

Contact Information

Primary practice address
6066 Civic Terrace Ave Newark CA 94560
Fax: (510) 494-7240
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X G57227 California

Profile Details

NPI number 1356497101
LBN Legal business name Bolds, Jackie A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 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