Bolasny, Bruce
Bolasny, Bruce is an individual health care provider with primary practice located at 103 Wolf Creek Blvd Suite 1, Dover DE 19901-4915. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bolasny, Bruce can be contacted via phone (302) 674-2420.Contact Information
Primary practice address
103 Wolf Creek Blvd Suite 1
Dover DE 19901-4915
Phone: (302) 674-2420
Fax: (302) 674-4473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C1-0000582 | Delaware |
Profile Details
| NPI number | 1588661854 |
|---|---|
| LBN Legal business name | Bolasny, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| 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 | 1588661854 | NPPES |
| Delaware | MEDICAID | 0001156101 |
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