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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 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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