Dr. Jodie Lynn Bolt
Child Neurologist
9040 Jackson Ave Madigan Army Medical Center
Tacoma
, Washington 98431-1100
Dr. Jodie Lynn Bolt
Child Neurologist
9040 Jackson Ave Madigan Army Medical Center
Tacoma
, Washington 98431-1100
(253) 968-0443
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Dr. Jodie Lynn Bolt
- Madigan Army Medical Center 9040 Jackson Ave
- Tacoma, WA
- Zip : 98431-1100
- Fax : (253) 968-0443
- Phone : (253) 968-1440
Second Address
- Dr. Jodie Lynn Bolt
- 9040 Jackson Ave Madigan Army Medical Center
- Tacoma, WA
- Zip : 98431-1100
- Fax : (253) 968-0443
- Phone : (253) 968-1440
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FAQs
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Is Dr. Jodie Lynn Bolt a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2084N0402X | Child Neurologist | 0101045084 | VA |
| Y | 2084N0402X | Child Neurologist | MD00035673 | WA |
National Provider Identifier
| NPI | 1174596415 |
|---|---|
| Provider Name | Dr. Jodie Lynn Bolt |
| First Address | Tacoma, WA 98431-1100 |
| Second Address | Tacoma, WA 98431-1100 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/02/2006 |
| Last Update Date | 10/06/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.