Bolanis, Anna M

Bolanis, Anna M is an individual health care provider with primary practice located at 760 West Lakeshore Drive Suite 1, Colchester VT 05446-1580. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bolanis, Anna M can be contacted via phone (802) 862-9282.

Contact Information

Primary practice address
760 West Lakeshore Drive Suite 1 Colchester VT 05446-1580
Phone: (802) 862-9282
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1151 Vermont

Profile Details

NPI number 1164571402
LBN Legal business name Bolanis, Anna M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 19 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 1164571402 NPPES
Vermont MEDICAID 1003605

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