Bolen, Joel C

Bolen, Joel C is an individual health care provider with primary practice located at 1230 Carmichael Way , Montgomery AL 36106-3671. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Bolen, Joel C can be contacted via phone (334) 277-7665.

Contact Information

Primary practice address
1230 Carmichael Way Montgomery AL 36106-3671
Phone: (334) 277-7665
Fax: (334) 277-7142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 20157 Alabama

Profile Details

NPI number 1063576130
LBN Legal business name Bolen, Joel C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Oct 25th, 2016 - about 10 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 1063576130 NPPES
Alabama Other 51021380 BLUE CROSS
Alabama MEDICAID 000036956 BLUE CROSS
Alabama Other 51036956 BLUE CROSS

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