Boltri, John
Boltri, John is an individual health care provider with primary practice located at 1135 W University Dr Ste 250, Rochester MI 48307-1871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boltri, John can be contacted via phone (248) 650-6301.Contact Information
Primary practice address
1135 W University Dr Ste 250
Rochester MI 48307-1871
Phone: (248) 650-6301
Fax: (248) 650-5486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 035819 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301099774 | Michigan |
Profile Details
| NPI number | 1730155128 |
|---|---|
| LBN Legal business name | Boltri, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Jan 17th, 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 | 1730155128 | NPPES |
| Georgia | MEDICAID | 000502268F |
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