Bolivar, Stephen
Bolivar, Stephen is an sole proprietor health care provider with primary practice located at 401 Southcrest Cir Ste 202 , Southaven MS 38671-6719. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bolivar, Stephen can be contacted via phone (662) 536-2281.Contact Information
Primary practice address
401 Southcrest Cir Ste 202
Southaven MS 38671-6719
Phone: (662) 536-2281
Fax: (901) 763-3694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 888641 | Mississippi |
Profile Details
| NPI number | 1598199291 |
|---|---|
| LBN Legal business name | Bolivar, Stephen |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2013 |
| Last updated | Sep 3rd, 2026 - about last month |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598199291 | NPPES |
| Mississippi | MEDICAID | 07029064 |
Popular Providers
-
Lewis, Patricia Leanne
5908 Getwell Rd , Southaven MS 38672 -
Massey, Cara Yvonne
7900 Airways Blvd Bldg A6 , Southaven MS 38671-4117 -
Davis, Laura Elizabeth
6858 Swinnea Rd , Southaven MS 38671-9493 -
Hughes, Rosalind Ninette
7601 Southcrest Pkwy , Southaven MS 38671-4739 -
Vickrey, Samantha Shorter
3451 Goodman Rd E Ste 115 , Southaven MS 38672 -
Pruitt, Timothy Michael
7601 Southcrest Pkwy , Southaven MS 38671 -
Sanders, Jennifer C
5221 Getwell Rd Ste A , Southaven MS 38671-1054 -
Hurdle, Emmily Thomas
5908 Getwell Rd , Southaven MS 38672-7317