Bolin, Jerry Blake
Bolin, Jerry Blake is an sole proprietor health care provider with primary practice located at 3550 Parkwood Blvd. Bldg. D, Ste. 405, Frisco TX 75034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bolin, Jerry Blake can be contacted via phone (469) 287-8800.Contact Information
Primary practice address
3550 Parkwood Blvd. Bldg. D, Ste. 405
Frisco TX 75034
Phone: (469) 287-8800
Fax: (469) 287-8801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K8014 | Texas |
Profile Details
| NPI number | 1174563043 |
|---|---|
| LBN Legal business name | Bolin, Jerry Blake |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Dec 31st, 2020 - about 4 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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