Boldy, M Michael

Boldy, M Michael is an individual health care provider with primary practice located at 1275 E Latham Ave Ste A , Hemet CA 92543-4424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Boldy, M Michael can be contacted via phone (951) 652-5555.

Contact Information

Primary practice address
1275 E Latham Ave Ste A Hemet CA 92543-4424
Phone: (951) 652-5555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A24200 California

Profile Details

NPI number 1013091677
LBN Legal business name Boldy, M Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jul 8th, 2007 - about 18 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 1013091677 NPPES
California MEDICAID 00A242000

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