Bolt, Edward

Bolt, Edward is an sole proprietor health care provider with primary practice located at 212 Retreat Vlg Ste 212 , St Simons Island GA 31522-2403. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bolt, Edward can be contacted via phone (912) 638-1444.

Contact Information

Primary practice address
212 Retreat Vlg Ste 212 St Simons Island GA 31522-2403
Phone: (912) 638-1444
Fax: (912) 638-0077
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT012047 Georgia

Profile Details

NPI number 1215313630
LBN Legal business name Bolt, Edward
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2015
Last updated Jan 30th, 2018 - about 8 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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