Bolois, Mark Andrew

Bolois, Mark Andrew is an sole proprietor health care provider with primary practice located at 6694 Taylor Rd , Clinton OH 44216-9201. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is his primary health care specialty. Bolois, Mark Andrew can be contacted via phone (330) 825-5202.

Contact Information

Primary practice address
6694 Taylor Rd Clinton OH 44216-9201
Phone: (330) 825-5202
Fax: (234) 678-6919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 143671 Ohio
Nursing Service Providers / Registered Nurse 163W00000X RN.470099 Ohio

Profile Details

NPI number 1629505193
LBN Legal business name Bolois, Mark Andrew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2017
Last updated Oct 30th, 2019 - about 7 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 1629505193 NPPES
Ohio MEDICAID 1821411273

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