Bolonkin, David Henry

Bolonkin, David Henry is an individual health care provider with primary practice located at 2818 Grant Line Rd , New Albany IN 47150-2492. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bolonkin, David Henry can be contacted via phone (812) 725-7542.

Contact Information

Primary practice address
2818 Grant Line Rd New Albany IN 47150-2492
Phone: (812) 725-7542
Fax: (812) 725-7543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000563 Indiana

Profile Details

NPI number 1184640088
LBN Legal business name Bolonkin, David Henry
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184640088 NPPES
Indiana Other 000000942326 ANTHEM
Indiana MEDICAID 100075780 ANTHEM

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