Individual
LARRY P BOLSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
86 DAVIS RD, BANGOR, ME 04401
(207) 992-2205
(207) 992-2207
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9963
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432426799
—
ME
Enumeration date
09/26/2006
Last updated
05/06/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us