Bolino, Edward Paul
Bolino, Edward Paul is an sole proprietor health care provider with primary practice located at 318 Mahoning Ave Nw , Warren OH 44483-4605. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Bolino, Edward Paul can be contacted via phone (330) 395-9563.Contact Information
Primary practice address
318 Mahoning Ave Nw
Warren OH 44483-4605
Phone: (330) 395-9563
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | E0000680 | Ohio |
Profile Details
| NPI number | 1124166632 |
|---|---|
| LBN Legal business name | Bolino, Edward Paul |
| Credentials | PCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1124166632 | NPPES |
| Ohio | Other | 0000001254229 | ANTHEM |
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