Boll, John N.

Boll, John N. is an individual health care provider with primary practice located at 740 High St Suite 4001, Williamsport PA 17701-3100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Boll, John N. can be contacted via phone (570) 321-2345.

Contact Information

Primary practice address
740 High St Suite 4001 Williamsport PA 17701-3100
Phone: (570) 321-2345
Fax: (570) 321-2359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X OS010395L Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS010395L Pennsylvania

Profile Details

NPI number 1073516944
LBN Legal business name Boll, John N.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Apr 16th, 2021 - about 3 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 1073516944 NPPES
Kentucky MEDICAID 64052707
Kentucky MEDICAID 1026698040001

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