Bollaert, Thomas Joseph

Bollaert, Thomas Joseph is an individual health care provider with primary practice located at 3904 16Th St , Moline IL 61265-1275. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Bollaert, Thomas Joseph can be contacted via phone (309) 581-7600.

Contact Information

Primary practice address
3904 16Th St Moline IL 61265-1275
Phone: (309) 581-7600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036.154509 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125069405 Illinois

Profile Details

NPI number 1245680651
LBN Legal business name Bollaert, Thomas Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2016
Last updated Jan 19th, 2021 - about 4 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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