# MARY D BOLT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922011097
- **Gender:** F
- **Credential:** AUD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 1601000086 | MI | Yes |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 05/27/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 540C312880 | BCBS HEARING AIDS | MI |
| 01 | — | 640C326130 | BCBS SERVICES | MI |
| 05 | — | 804679861 | — | MI |