Individual
JENNIFER BOLNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104
(206) 860-5404
(206) 860-2295
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00027849
WA
208D00000X
General Practice Physician
MD00027849
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8133613
—
WA
Enumeration date
01/31/2007
Last updated
05/31/2018
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