Bolander, Ranesa L.

Bolander, Ranesa L. is an individual health care provider with primary practice located at 138 Shellcove Rd , Pasadena MD 21122-3045. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bolander, Ranesa L. can be contacted via phone (443) 889-2400.

Contact Information

Primary practice address
138 Shellcove Rd Pasadena MD 21122-3045
Phone: (443) 889-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12312 Maryland

Profile Details

NPI number 1437334562
LBN Legal business name Bolander, Ranesa L.
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2008
Last updated Jan 15th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437334562 NPPES
Maryland Other J6710001 BLUE CROSS/BLUE SHIELD
Maryland MEDICAID 409235000 BLUE CROSS/BLUE SHIELD

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