Bolender, Nicole Francoise

Bolender, Nicole Francoise is an individual health care provider with primary practice located at 700 Lincoln St Suite 100, Kelso WA 98626-1072. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is her primary health care specialty. Bolender, Nicole Francoise can be contacted via phone (360) 425-5131.

Contact Information

Primary practice address
700 Lincoln St Suite 100 Kelso WA 98626-1072
Fax: (360) 425-5509
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD00016456 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00016456 Washington

Profile Details

NPI number 1467473363
LBN Legal business name Bolender, Nicole Francoise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467473363 NPPES
Washington MEDICAID 8363202

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