Boltwood, Michael
Boltwood, Michael is an sole proprietor health care provider with primary practice located at 6000 Whale Dancer Ct Ne , Suquamish WA 98392-9648. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Boltwood, Michael can be contacted via phone (360) 698-1321.Contact Information
Primary practice address
6000 Whale Dancer Ct Ne
Suquamish WA 98392-9648
Phone: (360) 698-1321
Fax: (360) 308-0447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1487739694 |
|---|---|
| LBN Legal business name | Boltwood, Michael |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Dec 30th, 2022 - about 4 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 | 1487739694 | NPPES |
| Washington | MEDICAID | 7069149 |
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