Bolock, Sylvia M.
Bolock, Sylvia M. is an individual health care provider with primary practice located at 126 Market Way , Mount Pocono PA 18344-1039. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bolock, Sylvia M. can be contacted via phone (570) 839-3633.Contact Information
Primary practice address
126 Market Way
Mount Pocono PA 18344-1039
Phone: (570) 839-3633
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS007419E | Pennsylvania |
Profile Details
| NPI number | 1730154824 |
|---|---|
| LBN Legal business name | Bolock, Sylvia M. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jul 15th, 2021 - about 3 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 | 1730154824 | NPPES |
| Pennsylvania | MEDICAID | 001252890 |
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