Bolin, Elizabeth R
Bolin, Elizabeth R is an individual health care provider with primary practice located at 100 Jackson Pike , Gallipolis OH 45631-1560. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bolin, Elizabeth R can be contacted via phone (855) 446-5937.Contact Information
Primary practice address
100 Jackson Pike
Gallipolis OH 45631-1560
Phone: (855) 446-5937
Fax: (740) 446-5486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA 15317-NP | Ohio |
Profile Details
| NPI number | 1093144115 |
|---|---|
| LBN Legal business name | Bolin, Elizabeth R |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2013 |
| Last updated | Nov 25th, 2020 - about 5 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 | 1093144115 | NPPES |
| Ohio | MEDICAID | 0095419 |
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