Bollmann, Wonsik Y
Bollmann, Wonsik Y is an individual health care provider with primary practice located at 15366 11Th St Suite A, Victorville CA 92395-3726. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bollmann, Wonsik Y can be contacted via phone (760) 951-1234.Contact Information
Primary practice address
15366 11Th St Suite A
Victorville CA 92395-3726
Phone: (760) 951-1234
Fax: (760) 951-1611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E3966 | California |
Profile Details
| NPI number | 1578556742 |
|---|---|
| LBN Legal business name | Bollmann, Wonsik Y |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Jan 9th, 2017 - about 7 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 | 1578556742 | NPPES |
| California | MEDICAID | 000E39660 |
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