Bolger, John Thomas

Bolger, John Thomas is an individual health care provider with primary practice located at 1111 Delafield St Suite 120, Waukesha WI 53188-3417. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Bolger, John Thomas can be contacted via phone (262) 544-5311.

Contact Information

Primary practice address
1111 Delafield St Suite 120 Waukesha WI 53188-3417
Phone: (262) 544-5311
Fax: (262) 544-6820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 22872 Wisconsin
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 22872 Wisconsin

Profile Details

NPI number 1619958022
LBN Legal business name Bolger, John Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Oct 23rd, 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 1619958022 NPPES
Wisconsin MEDICAID 30417700

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