Bolt, Brian

Bolt, Brian is an sole proprietor health care provider with primary practice located at 5816 Erhardt Dr , Riverview FL 33578-3760. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Bolt, Brian can be contacted via phone (910) 297-3569.

Contact Information

Primary practice address
5816 Erhardt Dr Riverview FL 33578-3760
Phone: (910) 297-3569
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9185033 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X F0216882 Florida

Profile Details

NPI number 1891146163
LBN Legal business name Bolt, Brian
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2016
Last updated Jan 20th, 2020 - about 6 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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