Bolli, Jo Ann N

Bolli, Jo Ann N is an sole proprietor health care provider with primary practice located at 308 S Washington St , Clinton KY 42031-1340. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Bolli, Jo Ann N can be contacted via phone (270) 254-3021.

Contact Information

Primary practice address
308 S Washington St Clinton KY 42031-1340
Phone: (270) 254-3021
Fax: (270) 254-3023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 43737 Tennessee
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 43737 Tennessee

Profile Details

NPI number 1134198526
LBN Legal business name Bolli, Jo Ann N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2006
Last updated Dec 27th, 2016 - about 9 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 1134198526 NPPES
Tennessee MEDICAID 4046827
Tennessee Other 4143318
Tennessee Other 000000502868

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