Bolden, Donna Marie

Bolden, Donna Marie is an individual health care provider with primary practice located at 1408 Campbell Dr , Ironton OH 45638-2301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bolden, Donna Marie can be contacted via phone (740) 534-9195.

Contact Information

Primary practice address
1408 Campbell Dr Ironton OH 45638-2301
Phone: (740) 534-9195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 38597 Kentucky

Profile Details

NPI number 1194729111
LBN Legal business name Bolden, Donna Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Jun 3rd, 2021 - 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 1194729111 NPPES
Kentucky Other 000000550503 ANTHEM BCBS
Kentucky MEDICAID 3418539 ANTHEM BCBS
Kentucky Other 00000328135 ANTHEM BCBS
Kentucky MEDICAID 64066384 ANTHEM BCBS

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