Bolyard, Brooks E
Bolyard, Brooks E is an individual health care provider with primary practice located at 2600 Sixth St , Canton OH 44710. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Bolyard, Brooks E can be contacted via phone (330) 438-6311.Contact Information
Primary practice address
2600 Sixth St
Canton OH 44710
Phone: (330) 438-6311
Fax: (330) 580-5546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 35-077605 | Ohio |
Profile Details
| NPI number | 1104921980 |
|---|---|
| LBN Legal business name | Bolyard, Brooks E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | May 4th, 2016 - about 8 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 | 1104921980 | NPPES |
| Ohio | MEDICAID | 2222366 |
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