Bolan, Jennifer Lynn

Bolan, Jennifer Lynn is an individual health care provider with primary practice located at 903 Nw Washington Blvd Ste A , Hamilton OH 45013-6367. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bolan, Jennifer Lynn can be contacted via phone (513) 454-1111.

Contact Information

Primary practice address
903 Nw Washington Blvd Ste A Hamilton OH 45013-6367
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35.098053 Ohio

Profile Details

NPI number 1790960953
LBN Legal business name Bolan, Jennifer Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2008
Last updated Aug 18th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790960953 NPPES
Ohio MEDICAID 0054909

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