Bolan, Joseph Lawrence

Bolan, Joseph Lawrence is an individual health care provider with primary practice located at 3303 Soldiers Home Rd , West Lafayette IN 47906-1219. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Bolan, Joseph Lawrence can be contacted via phone (765) 497-4873.

Contact Information

Primary practice address
3303 Soldiers Home Rd West Lafayette IN 47906-1219
Phone: (765) 497-4873
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 37000011A Indiana

Profile Details

NPI number 1629303805
LBN Legal business name Bolan, Joseph Lawrence
Credentials RD, CD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2009
Last updated Oct 6th, 2009 - about 17 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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