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:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1780791566 | NPPES |
| Wisconsin | MEDICAID | 30624300 |
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