Bruce R Bolling & Gwendolyn W Bolling Pa
LBN: Bruce R Bolling & Gwendolyn W Bolling Pa
Bruce R Bolling & Gwendolyn W Bolling Pa is an health care organization with primary practice located at 3001 Maplewood Ave , Winston Salem NC 27103-4020. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty.
Bruce R Bolling & Gwendolyn W Bolling Pa can be contacted via phone (336) 659-9440, or through Bolling, Bruce via phone (336) 659-9440.
Contact Information
Primary practice address
3001 Maplewood Ave
Winston Salem NC 27103-4020
Phone: (336) 659-9440
Fax: (336) 659-9845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 592 | North Carolina |
Profile Details
| NPI number | 1568632008 |
|---|---|
| LBN Legal business name | Bruce R Bolling & Gwendolyn W Bolling Pa |
| DBA Doing business as | |
| Authorized official | Bolling, Bruce Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 11th, 2008 |
| Last updated | Feb 3rd, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568632008 | NPPES |
| North Carolina | Other | 48204 | BCBS NC |
| North Carolina | MEDICAID | 8948204 | BCBS NC |
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