Bollin, Jeremy Douglas

Bollin, Jeremy Douglas is an individual health care provider with primary practice located at 212 Plymouth St Sw , Le Mars IA 51031-3441. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bollin, Jeremy Douglas can be contacted via phone (712) 546-7789.

Contact Information

Primary practice address
212 Plymouth St Sw Le Mars IA 51031-3441
Fax: (712) 546-6554
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 06700 Iowa

Profile Details

NPI number 1538132329
LBN Legal business name Bollin, Jeremy Douglas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 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 1538132329 NPPES
Iowa MEDICAID 0460758

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