Bolliger, Glen Alan
Bolliger, Glen Alan is an individual health care provider with primary practice located at 19 Village Sq , Chelmsford MA 01824-2712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bolliger, Glen Alan can be contacted via phone (978) 256-5600.Contact Information
Primary practice address
19 Village Sq
Chelmsford MA 01824-2712
Phone: (978) 256-5600
Fax: (978) 703-0250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 42762 | Massachusetts |
Profile Details
| NPI number | 1568455897 |
|---|---|
| LBN Legal business name | Bolliger, Glen Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Sep 29th, 2011 - about 13 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 | 1568455897 | NPPES |
| Massachusetts | MEDICAID | 0158739 |
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