Boland, Michael J
Boland, Michael J is an individual health care provider with primary practice located at 255 Baptist Blvd Suite 402, Columbus MS 39705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Boland, Michael J can be contacted via phone (662) 240-1412.Contact Information
Primary practice address
255 Baptist Blvd Suite 402
Columbus MS 39705
Phone: (662) 240-1412
Fax: (662) 240-1949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 6387 | Mississippi |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 056686 | Georgia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 00027291 | Alabama |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 06387 | Mississippi |
Profile Details
| NPI number | 1104867936 |
|---|---|
| LBN Legal business name | Boland, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Dec 7th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104867936 | NPPES |
| Alabama | Other | 730-73298 | BLUE CROSS BLUE SHIELD |
| Alabama | MEDICAID | 0115039 | BLUE CROSS BLUE SHIELD |
| Alabama | Other | 730-01754 | BLUE CROSS BLUE SHIELD |
| Alabama | Other | 730-05844 | BLUE CROSS BLUE SHIELD |
| Alabama | Other | 730-05954 | BLUE CROSS BLUE SHIELD |
| Alabama | MEDICAID | 009601740 | BLUE CROSS BLUE SHIELD |
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