Bolling, Jacob Ryan

Bolling, Jacob Ryan is an sole proprietor health care provider with primary practice located at 95 Vernon St , Worcester MA 01610-1988. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Bolling, Jacob Ryan can be contacted via phone (508) 755-2466.

Contact Information

Primary practice address
95 Vernon St Worcester MA 01610-1988
Phone: (508) 755-2466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 2545 Massachusetts
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PDF2545 Massachusetts

Profile Details

NPI number 1942822911
LBN Legal business name Bolling, Jacob Ryan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2020
Last updated Sep 27th, 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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