Bollyky, Jennifer Beart

Bollyky, Jennifer Beart is an individual health care provider with primary practice located at 300 Pasteur Dr , Stanford CA 94305-2200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bollyky, Jennifer Beart can be contacted via phone (650) 723-4000.

Contact Information

Primary practice address
300 Pasteur Dr Stanford CA 94305-2200
Phone: (650) 723-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C55872 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00044340 Washington

Profile Details

NPI number 1497717748
LBN Legal business name Bollyky, Jennifer Beart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Apr 17th, 2024 - about last year

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 1497717748 NPPES
Washington Other 3536BO REGENCE BLUESHIELD RIDER
Washington MEDICAID 8415879 REGENCE BLUESHIELD RIDER
Washington Other 0192575 REGENCE BLUESHIELD RIDER
Washington Other P00188398 REGENCE BLUESHIELD RIDER

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