Bolin, Brent L

Bolin, Brent L is an individual health care provider with primary practice located at 7926 Preston Hwy Ste 106 , Louisville KY 40219-3848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bolin, Brent L can be contacted via phone (502) 964-4357.

Contact Information

Primary practice address
7926 Preston Hwy Ste 106 Louisville KY 40219-3848
Phone: (502) 964-4357
Fax: (502) 966-5948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33921 Kentucky

Profile Details

NPI number 1376508093
LBN Legal business name Bolin, Brent L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 9th, 2016 - about 9 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 1376508093 NPPES
Other 000052154B HUMANA / NMA
Other 1171473 HUMANA / NMA
Other 000000350677 HUMANA / NMA
Other 9034053002 HUMANA / NMA
Other 012961 HUMANA / NMA
Other 2440810000 HUMANA / NMA
Other 1183574 HUMANA / NMA
MEDICAID 64012024 HUMANA / NMA

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