Bolger, William E

Bolger, William E is an individual health care provider with primary practice located at 6817 Southpoint Pkwy Ste 502 , Jacksonville FL 32216-6289. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bolger, William E can be contacted via phone (904) 595-7475.

Contact Information

Primary practice address
6817 Southpoint Pkwy Ste 502 Jacksonville FL 32216-6289
Phone: (904) 595-7475
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X D60607 Maryland
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME104254 Florida

Profile Details

NPI number 1417990128
LBN Legal business name Bolger, William E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Apr 10th, 2018 - about 7 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 1417990128 NPPES
Florida MEDICAID 253536000
Florida MEDICAID 415096100
Florida MEDICAID 001371600

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