Boltz, Juliet Lacaran

Boltz, Juliet Lacaran is an sole proprietor health care provider with primary practice located at 728 Broad Street Ext , Waterford CT 06385-1345. She recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as her primary health care specialty. Boltz, Juliet Lacaran can be contacted via phone (860) 867-6450.

Contact Information

Primary practice address
728 Broad Street Ext Waterford CT 06385-1345
Phone: (860) 867-6450
Fax: (860) 437-4567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X 002683 Connecticut

Profile Details

NPI number 1396933750
LBN Legal business name Boltz, Juliet Lacaran
Credentials MASSAGE THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2007
Last updated Oct 11th, 2007 - about 17 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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