Bolerjack, Matthew Edward
Bolerjack, Matthew Edward is an individual health care provider with primary practice located at 7130 Miramar Rd Ste 400 , San Diego CA 92121-2340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bolerjack, Matthew Edward can be contacted via phone (619) 609-3171.Contact Information
Primary practice address
7130 Miramar Rd Ste 400
San Diego CA 92121-2340
Phone: (619) 609-3171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 104470 | California |
Profile Details
| NPI number | 1740923937 |
|---|---|
| LBN Legal business name | Bolerjack, Matthew Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2022 |
| Last updated | Apr 15th, 2022 - about 2 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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