Bolen, Lydia K
Bolen, Lydia K is an individual health care provider with primary practice located at 1900 Wealthy St Se Ste 300 , Grand Rapids MI 49506-2969. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bolen, Lydia K can be contacted via phone (616) 267-7293.Contact Information
Primary practice address
1900 Wealthy St Se Ste 300
Grand Rapids MI 49506-2969
Phone: (616) 267-7293
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601004004 | Michigan |
Profile Details
| NPI number | 1427033992 |
|---|---|
| LBN Legal business name | Bolen, Lydia K |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | May 22nd, 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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