Boldt, Jason

Boldt, Jason is an sole proprietor health care provider with primary practice located at 4166 Jimmy Lee Smith Pkwy , Hiram GA 30141-2647. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Boldt, Jason can be contacted via phone (470) 272-0300.

Contact Information

Primary practice address
4166 Jimmy Lee Smith Pkwy Hiram GA 30141-2647
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X LDO002851 Georgia

Profile Details

NPI number 1841057122
LBN Legal business name Boldt, Jason
Credentials LDO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2024
Last updated Mar 4th, 2024 - about 8 months 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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