Bolt, Stephen Laurence
Bolt, Stephen Laurence is an individual health care provider with primary practice located at 1717 S J St , Tacoma WA 98405-4933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bolt, Stephen Laurence can be contacted via phone (844) 364-2778.Contact Information
Primary practice address
1717 S J St
Tacoma WA 98405-4933
Phone: (844) 364-2778
Fax: (253) 383-0161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 0101045085 | Virginia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 0101045085 | Virginia |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD60833931 | Washington |
Profile Details
| NPI number | 1710967237 |
|---|---|
| LBN Legal business name | Bolt, Stephen Laurence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Dec 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710967237 | NPPES |
| Washington | MEDICAID | 2104430 |
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