Bolt, Paul Allen

Bolt, Paul Allen is an sole proprietor health care provider with primary practice located at 34 Dunn Ln , Mountain Home AR 72653-8663. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Bolt, Paul Allen can be contacted via phone (870) 425-5597.

Contact Information

Primary practice address
34 Dunn Ln Mountain Home AR 72653-8663
Phone: (870) 425-5597
Fax: (870) 425-5592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR411 Arkansas

Profile Details

NPI number 1386783926
LBN Legal business name Bolt, Paul Allen
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Jan 14th, 2017 - about 7 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 1386783926 NPPES
Arkansas MEDICAID 124621721

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