Bolling, Candice M

Bolling, Candice M is an individual health care provider with primary practice located at 16431 Wise St , Saint Paul VA 24283-3537. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bolling, Candice M can be contacted via phone (276) 762-2300.

Contact Information

Primary practice address
16431 Wise St Saint Paul VA 24283-3537
Phone: (276) 762-2300
Fax: (276) 762-0612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002673 Virginia

Profile Details

NPI number 1477736684
LBN Legal business name Bolling, Candice M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2007
Last updated Feb 26th, 2024 - about 2 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 1477736684 NPPES
Virginia MEDICAID 1477736684
Virginia Other P01376909

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