Bolivar, Alvaro
Bolivar, Alvaro is an sole proprietor health care provider with primary practice located at 598 N F St , San Bernardino CA 92410-3110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bolivar, Alvaro can be contacted via phone (909) 888-8152.Contact Information
Primary practice address
598 N F St
San Bernardino CA 92410-3110
Phone: (909) 888-8152
Fax: (909) 884-7530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A38312 | California |
Profile Details
| NPI number | 1477578698 |
|---|---|
| LBN Legal business name | Bolivar, Alvaro |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Dec 13th, 2013 - about 12 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 | 1477578698 | NPPES |
| California | MEDICAID | 00A383120 |
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