Bollinger, David Bruce

Bollinger, David Bruce is an individual health care provider with primary practice located at 226 Alcovy St Ste G-1, Monroe GA 30655-2183. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Bollinger, David Bruce can be contacted via phone (770) 207-9043.

Contact Information

Primary practice address
226 Alcovy St Ste G-1 Monroe GA 30655-2183
Phone: (770) 207-9043
Fax: (770) 207-9029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 674-GA Georgia

Profile Details

NPI number 1548264161
LBN Legal business name Bollinger, David Bruce
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jul 9th, 2007 - about 17 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 1548264161 NPPES
Georgia MEDICAID 000610002B

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