Bolles, Jonathan Andrew
Bolles, Jonathan Andrew is an individual health care provider with primary practice located at 1201 S Miller St Ste A , Wenatchee WA 98801-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bolles, Jonathan Andrew can be contacted via phone (509) 663-8711.Contact Information
Primary practice address
1201 S Miller St Ste A
Wenatchee WA 98801-3201
Phone: (509) 663-8711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 23017 | Nebraska |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD60260896 | Washington |
Profile Details
| NPI number | 1003839093 |
|---|---|
| LBN Legal business name | Bolles, Jonathan Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 14th, 2015 - about 10 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 | 1003839093 | NPPES |
| Washington | Other | P01096688 | RR MEDICARE WVH |
| Washington | MEDICAID | 1003839093 | RR MEDICARE WVH |
| Washington | Other | 315727 | RR MEDICARE WVH |
Popular Providers
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Love, Kathleen M
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