Individual
DR. JEFFERY A BOLLENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3903 S 7TH ST STE 1A, TERRE HAUTE, IN 47802-5710
(812) 237-1411
(812) 237-9242
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
02001578
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
02001578
IN
Other
Enumeration date
01/04/2007
Last updated
02/01/2008
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