Bolt, Mary D
Bolt, Mary D is an individual health care provider with primary practice located at 310 N Clippert St Ste 4, Lansing MI 48912-4694. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Bolt, Mary D can be contacted via phone (517) 332-1691.Contact Information
Primary practice address
310 N Clippert St Ste 4
Lansing MI 48912-4694
Phone: (517) 332-1691
Fax: (517) 324-0210
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 1601000086 | Michigan |
Profile Details
NPI number | 1922011097 |
---|---|
LBN Legal business name | Bolt, Mary D |
Credentials | AUD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 13th, 2006 |
Last updated | May 27th, 2014 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922011097 | NPPES |
Michigan | MEDICAID | 804679861 | |
Michigan | Other | 540C312880 | |
Michigan | Other | 640C326130 |
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