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
Health care specialties
| Specialty | Code | License # | 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 4 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 | 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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