Boltwood, Chester Mcbride

Boltwood, Chester Mcbride is an individual health care provider with primary practice located at 4603 Dale Rd Kaiser Permanente Medical Offices, Modesto CA 95357-7680. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Boltwood, Chester Mcbride can be contacted via phone (209) 735-4287.

Contact Information

Primary practice address
4603 Dale Rd Kaiser Permanente Medical Offices Modesto CA 95357-7680
Phone: (209) 735-4287
Fax: (209) 735-4283
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G35042 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X G35042 California

Profile Details

NPI number 1669415303
LBN Legal business name Boltwood, Chester Mcbride
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Dec 13th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669415303 NPPES
California MEDICAID ZZZ76734Z

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