Bollyky, Jennifer Beart
Bollyky, Jennifer Beart is an individual health care provider with primary practice located at 300 Pasteur Dr , Stanford CA 94305-2200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bollyky, Jennifer Beart can be contacted via phone (650) 723-4000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C55872 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00044340 | Washington |
Profile Details
| NPI number | 1497717748 |
|---|---|
| LBN Legal business name | Bollyky, Jennifer Beart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Apr 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497717748 | NPPES |
| Washington | Other | 3536BO | REGENCE BLUESHIELD RIDER |
| Washington | MEDICAID | 8415879 | REGENCE BLUESHIELD RIDER |
| Washington | Other | 0192575 | REGENCE BLUESHIELD RIDER |
| Washington | Other | P00188398 | REGENCE BLUESHIELD RIDER |
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