Boldt, Mark D

Boldt, Mark D is an individual health care provider with primary practice located at 2550 University Ave W Suite 423 South, Saint Paul MN 55114-1052. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Boldt, Mark D can be contacted via phone (612) 870-5557.

Contact Information

Primary practice address
2550 University Ave W Suite 423 South Saint Paul MN 55114-1052
Phone: (612) 870-5557
Fax: (612) 870-5857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R0901701 Minnesota

Profile Details

NPI number 1922070762
LBN Legal business name Boldt, Mark D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Oct 29th, 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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