Bolin, Amanda Michelle

Bolin, Amanda Michelle is an sole proprietor health care provider with primary practice located at 11141 Parkview Plaza Dr Suite 210, Fort Wayne IN 46845-1713. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bolin, Amanda Michelle can be contacted via phone (260) 347-8187.

Contact Information

Primary practice address
11141 Parkview Plaza Dr Suite 210 Fort Wayne IN 46845-1713
Fax: (260) 347-8023
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 37002215A Indiana

Profile Details

NPI number 1689922403
LBN Legal business name Bolin, Amanda Michelle
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2012
Last updated Nov 5th, 2012 - about 14 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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