Jo-Ann N. Bolli, M. D., P.S.C.
LBN: Jo-Ann N. Bolli, M. D., P.S.C.
Jo-Ann N. Bolli, M. D., P.S.C. is an health care organization with primary practice located at 308 S Washington St Suite 201, Clinton KY 42031-1340. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Jo-Ann N. Bolli, M. D., P.S.C. can be contacted via phone (270) 653-4070, or through Bolli, Jo-Ann Nadeau via phone (270) 653-4070.
Contact Information
Primary practice address
308 S Washington St Suite 201
Clinton KY 42031-1340
Phone: (270) 653-4070
Fax: (270) 653-4007
Website:
Authorized official contact:
Name: Bolli, Jo-Ann Nadeau Doctor of Medicine (MD)
Phone: (270) 653-4070
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 28789 | Kentucky |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 28789 | Kentucky |
Profile Details
| NPI number | 1003153321 |
|---|---|
| LBN Legal business name | Jo-Ann N. Bolli, M. D., P.S.C. |
| DBA Doing business as | |
| Authorized official | Bolli, Jo-Ann Nadeau Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 7th, 2013 |
| Last updated | Jan 7th, 2013 - about 11 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 | 1003153321 | NPPES |
| Kentucky | MEDICAID | 64287899 |
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