Bolerjack, Matthew Edward

Bolerjack, Matthew Edward is an individual health care provider with primary practice located at 7130 Miramar Rd Ste 400 , San Diego CA 92121-2340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bolerjack, Matthew Edward can be contacted via phone (619) 609-3171.

Contact Information

Primary practice address
7130 Miramar Rd Ste 400 San Diego CA 92121-2340
Phone: (619) 609-3171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 104470 California

Profile Details

NPI number 1740923937
LBN Legal business name Bolerjack, Matthew Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2022
Last updated Apr 15th, 2022 - about 4 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.

Request for update

Popular Providers