Bolling, Robert P

Bolling, Robert P is an sole proprietor health care provider with primary practice located at 1035 Temple Ave N , Fayette AL 35555-1923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Bolling, Robert P can be contacted via phone (205) 748-0158.

Contact Information

Primary practice address
1035 Temple Ave N Fayette AL 35555-1923
Fax: (205) 932-4159
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 24251 Alabama
Allopathic & Osteopathic Physicians / Surgery 208600000X 24251 Alabama

Profile Details

NPI number 1477509925
LBN Legal business name Bolling, Robert P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Jul 12th, 2013 - about 12 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 1477509925 NPPES
Alabama Other 262671365001 TRICARE-FAIRHOPE
Alabama Other 511-21951 TRICARE-FAIRHOPE
Alabama Other 144069 TRICARE-FAIRHOPE
Alabama MEDICAID 135596 TRICARE-FAIRHOPE
Alabama Other 143956 TRICARE-FAIRHOPE
Alabama Other 9185060 TRICARE-FAIRHOPE
Alabama Other 721361759 TRICARE-FAIRHOPE

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