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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063507382 | NPPES |
| Texas | Other | 8BX469 | BLUE CROSS, BLUE SHIELD |
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