Boldt, Bert Bovard

Boldt, Bert Bovard is an individual health care provider with primary practice located at 132 Salem Ct , Tallahassee FL 32301-2810. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Boldt, Bert Bovard can be contacted via phone (850) 877-8177.

Contact Information

Primary practice address
132 Salem Ct Tallahassee FL 32301-2810
Phone: (850) 877-8177
Fax: (850) 942-0128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0829 Florida

Profile Details

NPI number 1326105495
LBN Legal business name Boldt, Bert Bovard
Credentials BS PT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2007
Last updated Feb 7th, 2008 - about 16 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 1326105495 NPPES
Florida Other 000829 PHYSICAL THERAPY LICENSE

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