Bolander, James Edwin

Bolander, James Edwin is an individual health care provider with primary practice located at 5510 S East St Ste H , Indianapolis IN 46227-1939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bolander, James Edwin can be contacted via phone (317) 924-8425.

Contact Information

Primary practice address
5510 S East St Ste H Indianapolis IN 46227-1939
Phone: (317) 924-8425
Fax: (317) 924-8424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01039451 Indiana
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01039451A Indiana

Profile Details

NPI number 1639176464
LBN Legal business name Bolander, James Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Nov 29th, 2022 - 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 1639176464 NPPES
Indiana Other 000000083029 ANTHEM NUMBER
Indiana MEDICAID 200026630 ANTHEM NUMBER

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