Bolick, William C

Bolick, William C is an individual health care provider with primary practice located at 424 South St , Waterloo IA 50701-1516. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bolick, William C can be contacted via phone (319) 234-2684.

Contact Information

Primary practice address
424 South St Waterloo IA 50701-1516
Phone: (319) 234-2684
Fax: (319) 233-5974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 06526 Iowa

Profile Details

NPI number 1285609693
LBN Legal business name Bolick, William C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1285609693 NPPES
Iowa MEDICAID 2500009
Iowa Other 171645
Iowa Other 17164

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