Bolt, Peyton Lightning
Bolt, Peyton Lightning is an sole proprietor health care provider with primary practice located at 741 Austin Pl , Saint Johns FL 32259-5472. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Bolt, Peyton Lightning can be contacted via phone (386) 846-8407.Contact Information
Primary practice address
741 Austin Pl
Saint Johns FL 32259-5472
Phone: (386) 846-8407
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1104331768 |
|---|---|
| LBN Legal business name | Bolt, Peyton Lightning |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2017 |
| Last updated | Dec 5th, 2017 - about 8 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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