Jolly, Michael
Jolly, Michael is an individual health care provider with primary practice located at 3705 Olentangy River Rd Suite 100, Columbus OH 43214-3467. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Jolly, Michael can be contacted via phone (614) 262-6772.Contact Information
Primary practice address
3705 Olentangy River Rd Suite 100
Columbus OH 43214-3467
Phone: (614) 262-6772
Fax: (614) 447-2752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35.091670 | Ohio |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 35.091670 | Ohio |
Profile Details
| NPI number | 1639295462 |
|---|---|
| LBN Legal business name | Jolly, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jan 5th, 2022 - about 2 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 | 1639295462 | NPPES |
| Ohio | MEDICAID | 0082774 |
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