Bolthouse, Jonathan Todd
Bolthouse, Jonathan Todd is an individual health care provider with primary practice located at 1900 Wealthy St Se Ste 100 , Grand Rapids MI 49506-2969. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bolthouse, Jonathan Todd can be contacted via phone (616) 267-7333.Contact Information
Primary practice address
1900 Wealthy St Se Ste 100
Grand Rapids MI 49506-2969
Phone: (616) 267-7333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 4301065768 | Michigan |
Profile Details
| NPI number | 1518906221 |
|---|---|
| LBN Legal business name | Bolthouse, Jonathan Todd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jun 26th, 2024 - about 5 months 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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