Boltz, Mitchell S
Boltz, Mitchell S is an individual health care provider with primary practice located at 2999 S Virginia St , Reno NV 89502-4216. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Boltz, Mitchell S can be contacted via phone (775) 827-5995.Contact Information
Primary practice address
2999 S Virginia St
Reno NV 89502-4216
Phone: (775) 827-5995
Fax: (775) 827-3216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | B01169 | Nevada |
Profile Details
| NPI number | 1174594519 |
|---|---|
| LBN Legal business name | Boltz, Mitchell S |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Dec 31st, 2008 - about 16 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 | 1174594519 | NPPES |
| Nevada | Other | B01169 | PHYSICIAN LICENSE |
| Nevada | Other | 038-008997 | PHYSICIAN LICENSE |
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