Bolling, Robert P
Bolling, Robert P is an sole proprietor health care provider with primary practice located at 1035 Temple Ave N , Fayette AL 35555-1923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Bolling, Robert P can be contacted via phone (205) 748-0158.Contact Information
Primary practice address
1035 Temple Ave N
Fayette AL 35555-1923
Phone: (205) 748-0158
Fax: (205) 932-4159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 24251 | Alabama |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 24251 | Alabama |
Profile Details
| NPI number | 1477509925 |
|---|---|
| LBN Legal business name | Bolling, Robert P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2006 |
| Last updated | Jul 12th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477509925 | NPPES |
| Alabama | Other | 262671365001 | TRICARE-FAIRHOPE |
| Alabama | Other | 511-21951 | TRICARE-FAIRHOPE |
| Alabama | Other | 144069 | TRICARE-FAIRHOPE |
| Alabama | MEDICAID | 135596 | TRICARE-FAIRHOPE |
| Alabama | Other | 143956 | TRICARE-FAIRHOPE |
| Alabama | Other | 9185060 | TRICARE-FAIRHOPE |
| Alabama | Other | 721361759 | TRICARE-FAIRHOPE |
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