Bolden, Anthony B.

Bolden, Anthony B. is an individual health care provider with primary practice located at 14200 W Celebrate Life Way , Goodyear AZ 85338-3007. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Bolden, Anthony B. can be contacted via phone (623) 207-3024.

Contact Information

Primary practice address
14200 W Celebrate Life Way Goodyear AZ 85338-3007
Phone: (623) 207-3024
Fax: (623) 932-8595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3537 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3537 Arizona

Profile Details

NPI number 1518020056
LBN Legal business name Bolden, Anthony B.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Sep 20th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518020056 NPPES
Arizona MEDICAID 210296

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