Darak-Bolino, Carla
Darak-Bolino, Carla is an individual health care provider with primary practice located at 3921 E Market St Building Iii Second Floor, Warren OH 44484-4711. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Darak-Bolino, Carla can be contacted via phone (330) 856-3300.Contact Information
Primary practice address
3921 E Market St Building Iii Second Floor
Warren OH 44484-4711
Phone: (330) 856-3300
Fax: (330) 856-4539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4982/T1852 | Ohio |
Profile Details
| NPI number | 1467454405 |
|---|---|
| LBN Legal business name | Darak-Bolino, Carla |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Apr 2nd, 2019 - about 5 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 | 1467454405 | NPPES |
| Ohio | MEDICAID | 2455927 |
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