Bolen, Christine M
Bolen, Christine M is an individual health care provider with primary practice located at 301 Hawthorne Ln Suite 100, Charlotte NC 28204-2450. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Bolen, Christine M can be contacted via phone (704) 384-1900.Contact Information
Primary practice address
301 Hawthorne Ln Suite 100
Charlotte NC 28204-2450
Phone: (704) 384-1900
Fax: (704) 384-1919
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0062257 | Maryland |
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 2007-01081 | North Carolina |
Profile Details
NPI number | 1750439345 |
---|---|
LBN Legal business name | Bolen, Christine M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 8th, 2007 |
Last updated | Oct 28th, 2020 - about 5 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 | 1750439345 | NPPES |
South Carolina | MEDICAID | N81007 |
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