Bolling, Lance B

Bolling, Lance B is an individual health care provider with primary practice located at 790 Woodlane Rd Ste 20 , Westampton NJ 08060-9624. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Bolling, Lance B can be contacted via phone (609) 261-6627.

Contact Information

Primary practice address
790 Woodlane Rd Ste 20 Westampton NJ 08060-9624
Phone: (609) 261-6627
Fax: (609) 261-7379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 26NR12035300 New Jersey

Profile Details

NPI number 1376671867
LBN Legal business name Bolling, Lance B
Credentials RN BSN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376671867 NPPES
New Jersey MEDICAID 8819700

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