Bolus, Kathy
Bolus, Kathy is an individual health care provider with primary practice located at 650 Ellis Oak Dr , Charleston SC 29412-3090. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bolus, Kathy can be contacted via phone (843) 762-5480.Contact Information
Primary practice address
650 Ellis Oak Dr
Charleston SC 29412-3090
Phone: (843) 762-5480
Fax: (843) 762-5488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 15226 | South Carolina |
Profile Details
| NPI number | 1114995669 |
|---|---|
| LBN Legal business name | Bolus, Kathy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Mar 5th, 2008 - about 18 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 | 1114995669 | NPPES |
| South Carolina | MEDICAID | 152266 |
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