Boliek, Bruce Stephen
Boliek, Bruce Stephen is an individual health care provider with primary practice located at 3320 Executive Dr Suite 111, Raleigh NC 27609-7445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Boliek, Bruce Stephen can be contacted via phone (919) 876-2427.Contact Information
Primary practice address
3320 Executive Dr Suite 111
Raleigh NC 27609-7445
Phone: (919) 876-2427
Fax: (919) 790-8423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 95-01181 | North Carolina |
Profile Details
| NPI number | 1033160817 |
|---|---|
| LBN Legal business name | Boliek, Bruce Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Apr 14th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033160817 | NPPES |
| North Carolina | MEDICAID | 89-1028R |
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