Bolek, Jeffrey E

Bolek, Jeffrey E is an individual health care provider with primary practice located at 21403 Chagrin Blvd , Beachwood OH 44122-5322. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Bolek, Jeffrey E can be contacted via phone (216) 346-5673.

Contact Information

Primary practice address
21403 Chagrin Blvd Beachwood OH 44122-5322
Phone: (216) 346-5673
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3496 Ohio
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 3496 Ohio

Profile Details

NPI number 1134217532
LBN Legal business name Bolek, Jeffrey E
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Sep 17th, 2015 - about 9 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 1134217532 NPPES
Ohio MEDICAID 2057116

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