Boland, Brian Newton

Boland, Brian Newton is an individual health care provider with primary practice located at 200 Patewood Dr Suite B480, Greenville SC 29615-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Boland, Brian Newton can be contacted via phone (864) 454-4570.

Contact Information

Primary practice address
200 Patewood Dr Suite B480 Greenville SC 29615-3593
Fax: (864) 454-4575
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 30777 South Carolina

Profile Details

NPI number 1972761575
LBN Legal business name Boland, Brian Newton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2008
Last updated May 19th, 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 1972761575 NPPES
South Carolina MEDICAID 307778

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