Bolisay, Maria Rita

Bolisay, Maria Rita is an individual health care provider with primary practice located at 1116 Millis Ave Suite 101, Boonville IN 47601-2242. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bolisay, Maria Rita can be contacted via phone (812) 897-7383.

Contact Information

Primary practice address
1116 Millis Ave Suite 101 Boonville IN 47601-2242
Phone: (812) 897-7383
Fax: (812) 897-7236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01047204 Indiana

Profile Details

NPI number 1205896941
LBN Legal business name Bolisay, Maria Rita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated May 4th, 2023 - about 2 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 1205896941 NPPES
Indiana Other 000000254914 BLUE CROSS
Indiana MEDICAID 200138620 BLUE CROSS

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