Boland, Paul A
Boland, Paul A is an sole proprietor health care provider with primary practice located at 110 Osigian Blvd , Warner Robins GA 31088-7880. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Boland, Paul A can be contacted via phone (478) 953-2922.Contact Information
Primary practice address
110 Osigian Blvd
Warner Robins GA 31088-7880
Phone: (478) 953-2922
Fax: (478) 953-2927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 000006 | Georgia |
Profile Details
| NPI number | 1417024670 |
|---|---|
| LBN Legal business name | Boland, Paul A |
| Credentials | CPO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1417024670 | NPPES |
| Georgia | Other | 000006 | STATE O&P LICENSE |
| Georgia | Other | CPO 1780 | STATE O&P LICENSE |
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