Bolin, Justin

Bolin, Justin is an individual health care provider with primary practice located at 615 S New Ballas Rd , Saint Louis MO 63141-8221. He recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as his primary health care specialty. Bolin, Justin can be contacted via phone (314) 251-7921.

Contact Information

Primary practice address
615 S New Ballas Rd Saint Louis MO 63141-8221
Phone: (314) 251-7921
Fax: (314) 251-4815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 2015024051 Missouri

Profile Details

NPI number 1225527633
LBN Legal business name Bolin, Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2018
Last updated May 2nd, 2018 - about 6 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 1225527633 NPPES
Missouri Other 2015024051 MISSOURI STATE BOARD OF NURSING
Missouri Other 21800005 MISSOURI STATE BOARD OF NURSING

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