Boldy, Robert Mathew

Boldy, Robert Mathew is an sole proprietor health care provider with primary practice located at 18077 Us Highway 18 Ste 100 , Apple Valley CA 92307-2168. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Boldy, Robert Mathew can be contacted via phone (760) 946-8169.

Contact Information

Primary practice address
18077 Us Highway 18 Ste 100 Apple Valley CA 92307-2168
Phone: (760) 946-8169
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K2186 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G80969 California

Profile Details

NPI number 1063507382
LBN Legal business name Boldy, Robert Mathew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated May 13th, 2024 - about last year

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 1063507382 NPPES
Texas Other 8BX469 BLUE CROSS, BLUE SHIELD

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