Bolles, John Craig

Bolles, John Craig is an individual health care provider with primary practice located at 202 S Park St , Madison WI 53715-1507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bolles, John Craig can be contacted via phone (608) 267-6267.

Contact Information

Primary practice address
202 S Park St Madison WI 53715-1507
Phone: (608) 267-6267
Fax: (608) 826-2710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 19952 Wisconsin

Profile Details

NPI number 1780791566
LBN Legal business name Bolles, John Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1780791566 NPPES
Wisconsin MEDICAID 30624300

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