Bollinger, Michael Thomas
Bollinger, Michael Thomas is an individual health care provider with primary practice located at 555 Petaluma Ave Ste B, Sebastopol CA 95472-4225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bollinger, Michael Thomas can be contacted via phone (707) 823-7602.Contact Information
Primary practice address
555 Petaluma Ave Ste B
Sebastopol CA 95472-4225
Phone: (707) 823-7602
Fax: (707) 823-7625
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A65404 | California |
Profile Details
NPI number | 1417941642 |
---|---|
LBN Legal business name | Bollinger, Michael Thomas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 2nd, 2005 |
Last updated | Nov 24th, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417941642 | NPPES |
California | MEDICAID | 00A654040 |
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