Individual
DR. DARRELL JAMES BOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1401R MOUNT ROYAL BLVD, GLENSHAW, PA 15116-2205
(412) 487-6266
(412) 487-6494
Mailing address
1401R MOUNT ROYAL BLVD, GLENSHAW, PA 15116-2205
(412) 487-6266
(412) 487-6494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002726L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020311
—
PA
01
—
154918
HIGHMARK
PA
01
—
202050
UPMC
PA
01
—
350009360
RAILROAD MEDICARE
PA
01
—
4492628
CIGNA
PA
01
—
525468
AETNA HMO
PA
01
—
5722287
AETNA PPO
PA
01
—
609468300
ACS DEPT.OF LABOR
PA
Enumeration date
01/04/2006
Last updated
11/04/2010
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