Ley Bolden, Mary Lynn

Ley Bolden, Mary Lynn is an individual health care provider with primary practice located at 4464 S Dixie Hwy , Middletown OH 45005-5464. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ley Bolden, Mary Lynn can be contacted via phone (513) 649-8008.

Contact Information

Primary practice address
4464 S Dixie Hwy Middletown OH 45005-5464
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN.237267 Ohio

Profile Details

NPI number 1518430818
LBN Legal business name Ley Bolden, Mary Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2019
Last updated Jan 14th, 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 1518430818 NPPES
Ohio MEDICAID 0074946

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