Boldetsky, Gennady
Boldetsky, Gennady is an sole proprietor health care provider with primary practice located at 1040 S Milwaukee Ave Suite 100, Wheeling IL 60090-6373. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Boldetsky, Gennady can be contacted via phone (847) 366-9518.Contact Information
Primary practice address
1040 S Milwaukee Ave Suite 100
Wheeling IL 60090-6373
Phone: (847) 366-9518
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 198001173 | Illinois |
Profile Details
| NPI number | 1407258510 |
|---|---|
| LBN Legal business name | Boldetsky, Gennady |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2014 |
| Last updated | Sep 19th, 2014 - about 12 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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