Bolling, Bruce Richard
Bolling, Bruce Richard is an sole proprietor health care provider with primary practice located at 3001 Maplewood Ave , Winston Salem NC 27103-4020. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bolling, Bruce Richard can be contacted via phone (336) 659-9440.Contact Information
Primary practice address
3001 Maplewood Ave
Winston Salem NC 27103-4020
Phone: (336) 659-9440
Fax: (336) 659-9845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 592 | North Carolina |
Profile Details
| NPI number | 1720195571 |
|---|---|
| LBN Legal business name | Bolling, Bruce Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Jul 9th, 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 | 1720195571 | NPPES |
| North Carolina | MEDICAID | 89127RY | |
| North Carolina | Other | 127RY |
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