Bolte, Robert G
Bolte, Robert G is an individual health care provider with primary practice located at 100 N Medical Dr , Salt Lake City UT 84113-1103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Bolte, Robert G can be contacted via phone (801) 588-2233.Contact Information
Primary practice address
100 N Medical Dr
Salt Lake City UT 84113-1103
Phone: (801) 588-2233
Fax: (801) 588-2236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 165008-1205 | Utah |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 165008-1205 | Utah |
Profile Details
| NPI number | 1063454064 |
|---|---|
| LBN Legal business name | Bolte, Robert G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | May 30th, 2014 - about 10 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 | 1063454064 | NPPES |
| Nevada | MEDICAID | 002085363 | |
| Nevada | MEDICAID | 003594800 | |
| Nevada | MEDICAID | 0142664 | |
| Nevada | MEDICAID | 1172456 | |
| Nevada | MEDICAID | 06395 | |
| Nevada | MEDICAID | 121338500 |
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