Bolden, Richard O
Bolden, Richard O is an individual health care provider with primary practice located at 809 Turnpike Ave , Clearfield PA 16830-1232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bolden, Richard O can be contacted via phone (814) 339-7101.Contact Information
Primary practice address
809 Turnpike Ave
Clearfield PA 16830-1232
Phone: (814) 339-7101
Fax: (814) 339-6165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD028313E | Pennsylvania |
Profile Details
| NPI number | 1467492397 |
|---|---|
| LBN Legal business name | Bolden, Richard O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Nov 1st, 2007 - about 17 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 | 1467492397 | NPPES |
| Pennsylvania | MEDICAID | 0010100010014 |
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