Bolanos, James M.

Bolanos, James M. is an individual health care provider with primary practice located at 520 N Chelan Ave , Wenatchee WA 98801-6697. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Bolanos, James M. can be contacted via phone (509) 662-2211.

Contact Information

Primary practice address
520 N Chelan Ave Wenatchee WA 98801-6697
Phone: (509) 662-2211
Fax: (509) 662-8756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10002147 Washington

Profile Details

NPI number 1811077332
LBN Legal business name Bolanos, James M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 14th, 2015 - about 9 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 1811077332 NPPES
Washington Other 322540 WVH LNI
Washington MEDICAID 1811077332 WVH LNI
Washington Other P01428922 WVH LNI

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