Bolanos, Maria
Bolanos, Maria is an sole proprietor health care provider with primary practice located at 2073 Olympic Street , Springfield OR 97477-3413. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bolanos, Maria can be contacted via phone (541) 682-3550.Contact Information
Primary practice address
2073 Olympic Street
Springfield OR 97477-3413
Phone: (541) 682-3550
Fax: (541) 682-3551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO20473 | Oregon |
Profile Details
| NPI number | 1801949417 |
|---|---|
| LBN Legal business name | Bolanos, Maria |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Feb 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801949417 | NPPES |
| Oregon | MEDICAID | 150494 |
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