Williams Bolar, Kimberly
Williams Bolar, Kimberly is an individual health care provider with primary practice located at 4924 Campbell Blvd , Nottingham MD 21236-5908. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Williams Bolar, Kimberly can be contacted via phone (443) 442-2200.Contact Information
Primary practice address
4924 Campbell Blvd
Nottingham MD 21236-5908
Phone: (443) 442-2200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TA1486 | Maryland |
Profile Details
| NPI number | 1114954757 |
|---|---|
| LBN Legal business name | Williams Bolar, Kimberly |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Feb 21st, 2013 - about 11 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 | 1114954757 | NPPES |
| Maryland | MEDICAID | 151600100 |
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