Bolan, Jordan

Bolan, Jordan is an sole proprietor health care provider with primary practice located at 1319 Dover St , Columbia SC 29201-4463. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Bolan, Jordan can be contacted via phone (585) 645-7824.

Contact Information

Primary practice address
1319 Dover St Columbia SC 29201-4463
Phone: (585) 645-7824
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1932577905
LBN Legal business name Bolan, Jordan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2015
Last updated Sep 9th, 2015 - 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.

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