Bolt, Jodie Lynn

Bolt, Jodie Lynn is an individual health care provider with primary practice located at 9040 Jackson Ave Madigan Army Medical Center , Tacoma WA 98431-1100. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Bolt, Jodie Lynn can be contacted via phone (253) 968-1440.

Contact Information

Primary practice address
9040 Jackson Ave Madigan Army Medical Center Tacoma WA 98431-1100
Phone: (253) 968-1440
Fax: (253) 968-0443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 0101045084 Virginia
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2084P0005X 0101045084 Virginia
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X MD00035673 Washington

Profile Details

NPI number 1174596415
LBN Legal business name Bolt, Jodie Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jun 10th, 2020 - about 4 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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