Bolan, Thomas Shane

Bolan, Thomas Shane is an sole proprietor health care provider with primary practice located at 3207 Laura Ln Ste 100 , Middleton WI 53562-1428. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bolan, Thomas Shane can be contacted via phone (608) 290-0956.

Contact Information

Primary practice address
3207 Laura Ln Ste 100 Middleton WI 53562-1428
Phone: (608) 290-0956
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15382-132 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8420-123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8420-123 Wisconsin

Profile Details

NPI number 1770703431
LBN Legal business name Bolan, Thomas Shane
Credentials LCSW, CSAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Apr 1st, 2024 - about 7 months 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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