Bolin, William R

Bolin, William R is an individual health care provider with primary practice located at 211 Blount Ave Suite 507, Knoxville TN 37920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Bolin, William R can be contacted via phone (865) 525-0598.

Contact Information

Primary practice address
211 Blount Ave Suite 507 Knoxville TN 37920
Phone: (865) 525-0598
Fax: (865) 525-0598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 12396 Tennessee

Profile Details

NPI number 1912985623
LBN Legal business name Bolin, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jul 9th, 2007 - about 17 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 1912985623 NPPES
Tennessee MEDICAID 3858853
Tennessee Other P00126983
Tennessee Other 5379626
Tennessee Other 7079731
Tennessee MEDICAID 64021280

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