Boldt, Adam Haim
Boldt, Adam Haim is an individual health care provider with primary practice located at 3434 12Th Ave Ne , Olympia WA 98506-5175. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Boldt, Adam Haim can be contacted via phone (360) 413-8470.Contact Information
Primary practice address
3434 12Th Ave Ne
Olympia WA 98506-5175
Phone: (360) 413-8470
Fax: (360) 413-8490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD037381 | District of Columbia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | H0067778 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 063173 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OP60663438 | Washington |
Profile Details
| NPI number | 1154458867 |
|---|---|
| LBN Legal business name | Boldt, Adam Haim |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154458867 | NPPES |
| Washington | MEDICAID | 2063739 | |
| Washington | MEDICAID | 279174514C | |
| Washington | MEDICAID | 279174514D |
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