Boland, Nelson Forrest
Boland, Nelson Forrest is an individual health care provider with primary practice located at 1225 15Th St Ste 2100 , Santa Monica CA 90404-1101. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Boland, Nelson Forrest can be contacted via phone (310) 319-1234.Contact Information
Primary practice address
1225 15Th St Ste 2100
Santa Monica CA 90404-1101
Phone: (310) 319-1234
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A179762 | California |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | A179762 | California |
Profile Details
NPI number | 1649739764 |
---|---|
LBN Legal business name | Boland, Nelson Forrest |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 18th, 2019 |
Last updated | Nov 7th, 2022 - about 2 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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