Bolt, Burt

Bolt, Burt is an individual health care provider with primary practice located at 2100 52Nd Ave , Moline IL 61265-6366. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Bolt, Burt can be contacted via phone (309) 797-2900.

Contact Information

Primary practice address
2100 52Nd Ave Moline IL 61265-6366
Phone: (309) 797-2900
Fax: (309) 797-2147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1649382706
LBN Legal business name Bolt, Burt
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 6th, 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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