Bolha, Julie

Bolha, Julie is an individual health care provider with primary practice located at 611 Veterans Ave , West Bend WI 53090-2545. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bolha, Julie can be contacted via phone (262) 353-4460.

Contact Information

Primary practice address
611 Veterans Ave West Bend WI 53090-2545
Phone: (262) 353-4460
Fax: (262) 353-4461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 3752033 Wisconsin

Profile Details

NPI number 1386979193
LBN Legal business name Bolha, Julie
Credentials PPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2009
Last updated Jan 13th, 2021 - about 5 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 1386979193 NPPES
Wisconsin MEDICAID 1386979193

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