Boltz, Marianne E

Boltz, Marianne E is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Boltz, Marianne E can be contacted via phone (717) 531-5690.

Contact Information

Primary practice address
500 University Dr Hershey PA 17033-2360
Fax: (717) 531-5009
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000330 Pennsylvania

Profile Details

NPI number 1306800248
LBN Legal business name Boltz, Marianne E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Dec 21st, 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 1306800248 NPPES
Pennsylvania MEDICAID 0018282150004

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