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Contact Information

RICHARD A BOLDRIDGE
41 MONTEBELLO RD STE LL1
PUEBLO, CO81001
 Phone: 719-545-2746
 Fax: 719-542-9638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for RICHARD A BOLDRIDGE · (Male)

NPI Number 1073747762
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2009
Last updated 08/16/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CO License # LPC.0014104
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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