Bolander, Stacey

Bolander, Stacey is an individual health care provider with primary practice located at 5510 S East St Ste H , Indianapolis IN 46227-1938. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bolander, Stacey can be contacted via phone (317) 924-8425.

Contact Information

Primary practice address
5510 S East St Ste H Indianapolis IN 46227-1938
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 37000665 Indiana

Profile Details

NPI number 1720620503
LBN Legal business name Bolander, Stacey
Credentials RDN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2019
Last updated Oct 12th, 2019 - about 7 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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