Boldt, James Samuel

Boldt, James Samuel is an sole proprietor health care provider with primary practice located at 344 Lupine Way , Ventura CA 93001-2221. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boldt, James Samuel can be contacted via phone (805) 643-4357.

Contact Information

Primary practice address
344 Lupine Way Ventura CA 93001-2221
Phone: (805) 643-4357
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 5728 California

Profile Details

NPI number 1033258215
LBN Legal business name Boldt, James Samuel
Credentials M.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033258215 NPPES
California MEDICAID SW 5728

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