Individual
JOHN W BOLEN
Active
Individual
JOHN W BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
MD00016100
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039575
LABOR & INDUSTRY
WA
01
—
220013529
RAILROAD MEDICARE
—
01
—
804194900
IDAHO MEDICAID
WA
05
—
8381204
—
WA
01
—
B460
BLUE SHIELD
WA
01
—
MD6100W
ALASKA MEDICAID
WA
01
—
US0861403
AETNA/USHC SPECIALIST
WA
Enumeration date
07/13/2006
Last updated
06/17/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up