Waldholtz, Bruce
Waldholtz, Bruce is an individual health care provider with primary practice located at 113 Gainsborough Sq Ste 202 , Chesapeake VA 23320-1714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Waldholtz, Bruce can be contacted via phone (757) 436-3285.Contact Information
Primary practice address
113 Gainsborough Sq Ste 202
Chesapeake VA 23320-1714
Phone: (757) 436-3285
Fax: (757) 436-2262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 0101042167 | Virginia |
Profile Details
| NPI number | 1871592840 |
|---|---|
| LBN Legal business name | Waldholtz, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | May 29th, 2019 - about 5 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 | 1871592840 | NPPES |
| Other | 325204 | ANTHEM | |
| Other | P00022692 | ANTHEM | |
| MEDICAID | 5821088 | ANTHEM | |
| Other | 15925 | ANTHEM | |
| Other | 325201 | ANTHEM |
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