Bolles, Carol
Bolles, Carol is an sole proprietor health care provider with primary practice located at 59 Kate Wagner Rd. , Westminster MD 21157. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bolles, Carol can be contacted via phone (410) 848-2500.Contact Information
Primary practice address
59 Kate Wagner Rd.
Westminster MD 21157
Phone: (410) 848-2500
Fax: (410) 876-3016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1336262302 |
|---|---|
| LBN Legal business name | Bolles, Carol |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Dec 17th, 2009 - about 15 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 | 1336262302 | NPPES |
| Maryland | MEDICAID | 615501400 |
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