Bolin, Jeffrey Tyler

Bolin, Jeffrey Tyler is an sole proprietor health care provider with primary practice located at 7902 Beulah Church Rd Unit 103 , Louisville KY 40228-2709. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Bolin, Jeffrey Tyler can be contacted via phone (023) 788-3115.

Contact Information

Primary practice address
7902 Beulah Church Rd Unit 103 Louisville KY 40228-2709
Phone: (023) 788-3115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 163604 Kentucky

Profile Details

NPI number 1700279601
LBN Legal business name Bolin, Jeffrey Tyler
Credentials MS, BCBA, LBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2015
Last updated Jul 2nd, 2025 - about last year

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 1700279601 NPPES
Kentucky Other 163604 KENTUCKY LBA
Kentucky Other 1-15-18435 KENTUCKY LBA

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