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:
Health care specialties
| Specialty | Code | License # | 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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