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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669415303 | NPPES |
| California | MEDICAID | ZZZ76734Z |
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