Bolen, John W

Bolen, John W is an individual health care provider with primary practice located at 1100 9Th Ave , Seattle WA 98101-2756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Bolen, John W can be contacted via phone (206) 223-6600.

Contact Information

Primary practice address
1100 9Th Ave Seattle WA 98101-2756
Phone: (206) 223-6600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X MD00016100 Washington

Profile Details

NPI number 1982629838
LBN Legal business name Bolen, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jun 17th, 2008 - about 16 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 1982629838 NPPES
Washington Other MD6100W ALASKA MEDICAID
Washington Other 220013529 ALASKA MEDICAID
Washington Other 0039575 ALASKA MEDICAID
Washington Other 804194900 ALASKA MEDICAID
Washington MEDICAID 8381204 ALASKA MEDICAID
Washington Other US0861403 ALASKA MEDICAID
Washington Other B460 ALASKA MEDICAID

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