Organization
JEFFERY A BOLLENBACHER DO PSC
Active
Organization
JEFFERY A BOLLENBACHER DO PSC
Active
Other names
Sports Orthopedics PC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY A BOLLENBACHER D.O. (ORTHOPEDIC SURGEON)
(812) 234-4243
Entity
Organization
Contact information
Practice address
3903 S 7TH ST STE 1A, TERRE HAUTE, IN 47802-5710
(812) 234-4243
(812) 478-3663
Mailing address
PO BOX 3402, TERRE HAUTE, IN 47803-0402
(812) 234-4243
(812) 478-3663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
IN02001578
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
IN02001578
IN
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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