Bolt, Michael Edward

Bolt, Michael Edward is an individual health care provider with primary practice located at 1902 S Us Highway 59 Bldg E Suite 300, Parsons KS 67357-4948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bolt, Michael Edward can be contacted via phone (620) 820-5840.

Contact Information

Primary practice address
1902 S Us Highway 59 Bldg E Suite 300 Parsons KS 67357-4948
Fax: (620) 820-5841
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0417184 Kansas

Profile Details

NPI number 1518943901
LBN Legal business name Bolt, Michael Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Nov 2nd, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518943901 NPPES
Kansas MEDICAID 200362160 A

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