Bolanos, Nicolas Alonzo

Bolanos, Nicolas Alonzo is an individual health care provider with primary practice located at 4150 Ford Street Extension , Fort Myers FL 33916. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Bolanos, Nicolas Alonzo can be contacted via phone (239) 461-8388.

Contact Information

Primary practice address
4150 Ford Street Extension Fort Myers FL 33916
Phone: (239) 461-8388
Fax: (239) 790-5121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X IMH9380 Florida

Profile Details

NPI number 1932442837
LBN Legal business name Bolanos, Nicolas Alonzo
Credentials M.ED., ED.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2013
Last updated Mar 29th, 2013 - about 13 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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