Bolen, Bridgette
Bolen, Bridgette is an sole proprietor health care provider with primary practice located at 400 E. 22Nd St. Suite A , Lombard IL 60148-1394. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bolen, Bridgette can be contacted via phone (630) 919-8218.Contact Information
Primary practice address
400 E. 22Nd St. Suite A
Lombard IL 60148-1394
Phone: (630) 919-8218
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-18-33746 |
Profile Details
| NPI number | 1588154827 |
|---|---|
| LBN Legal business name | Bolen, Bridgette |
| Credentials | BCBA 1-18-33746 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2018 |
| Last updated | May 8th, 2023 - about 3 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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