Individual
NICHOLAS K BOLLING
Active
Individual
NICHOLAS K BOLLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PENDING
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363AM0700X
TAXONOMY
AL
Enumeration date
12/15/2017
Last updated
02/06/2018
Update your record
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