Bolch, Sidney Jefferson

Bolch, Sidney Jefferson is an individual health care provider with primary practice located at 1326 Eisenhower Dr Bldg. 2, Savannah GA 31406-3928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bolch, Sidney Jefferson can be contacted via phone (912) 527-5300.

Contact Information

Primary practice address
1326 Eisenhower Dr Bldg. 2 Savannah GA 31406-3928
Phone: (912) 527-5300
Fax: (912) 527-5149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 016876 Georgia

Profile Details

NPI number 1639177595
LBN Legal business name Bolch, Sidney Jefferson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jun 25th, 2008 - about 16 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 1639177595 NPPES
Georgia MEDICAID 000176712AA
Georgia MEDICAID 000176712R
Georgia MEDICAID 000932412A
Georgia MEDICAID 000932412B
Georgia MEDICAID G16876
Georgia Other 060065859
Georgia Other 082552
Georgia MEDICAID 000176712Z
Georgia MEDICAID 000176712C

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