Jodie Lynn Bolt in Tacoma - Neurodevelopmental Disabilities
Jodie Lynn Bolt - NPI 1174596415
Jodie Lynn Bolt is a Neurodevelopmental Disabilities in Tacoma, Washington. Jodie Lynn Bolt practices all healthcare services and medical treatments related to Neurodevelopmental Disabilities. The NPI Number for Jodie Lynn Bolt is 1174596415. The last update date is 2020-06-10.
Jodie Lynn Bolt's current location address is Madigan Army Medical Center 9040 Jackson Ave, Tacoma, Washington. You can contact this provider via phone number 2539681440 and fax number 2539680443. The mailing address for Jodie Lynn Bolt is Madigan Army Medical Center 9040 Jackson Ave, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jodie Lynn Bolt |
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Address | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, Washington |
Phone Number | 2539681440 |
Fax Number | 2539680443 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1174596415 |
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Provider Enumeration Date | 2006-02-08 |
Last Updated Date | 2020-06-10 |
Provider Mailing Address Detail
Address | Madigan Army Medical Center 9040 Jackson Ave |
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City | Tacoma |
State | Washington (WA) |
Post Code | 984311100 |
Phone Number | 2539681440 |
Fax Number | 2539680443 |
Provider's Primary Taxonomy Detail
Speciality | Neurodevelopmental Disabilities |
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Taxonomy | 2084P0005X |
Licence No | 101045084 |
Definition: A neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. |
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What is the Jodie Lynn Bolt's unique identification number?
The Jodie Lynn Bolt has been assigned the NPI (National Provider Identifier) Number 1174596415 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jodie Lynn Bolt?
The Jodie Lynn Bolt is physically situated at Madigan Army Medical Center 9040 Jackson Ave, in the city of Tacoma, state of WA, with the postal code 984311100.
What is the area of specialization for Jodie Lynn Bolt, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jodie Lynn Bolt is Neurodevelopmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0005X.
When did the Jodie Lynn Bolt receive its 1174596415?
The Jodie Lynn Bolt was issued its 1174596415 on 2006-02-08, which is the date when the organization was assigned this unique identifier.
When was the information related to Jodie Lynn Bolt most recently updated or refreshed?
The details pertaining to the Jodie Lynn Bolt, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-06-10.