Bolz, Norman Alexander
Bolz, Norman Alexander is an sole proprietor health care provider with primary practice located at 19229 Mack Ave Suite 34, Grosse Pointe MI 48236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bolz, Norman Alexander can be contacted via phone (313) 343-0209.Contact Information
Primary practice address
19229 Mack Ave Suite 34
Grosse Pointe MI 48236
Phone: (313) 343-0209
Fax: (313) 343-0427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | NB039815 | Michigan |
Profile Details
| NPI number | 1386671691 |
|---|---|
| LBN Legal business name | Bolz, Norman Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Feb 23rd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386671691 | NPPES |
| Michigan | MEDICAID | 2120204 |
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