1124612247 NPI number — VIRGINIA BOLES MS, RDN, LD, NBC-HWC

Table of content: VIRGINIA BOLES MS, RDN, LD, NBC-HWC (NPI 1124612247)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124612247 NPI number — VIRGINIA BOLES MS, RDN, LD, NBC-HWC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BOLES
Provider First Name:
VIRGINIA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, RDN, LD, NBC-HWC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124612247
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/01/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3628 LONGSTREET DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PEARL
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
39208-3814
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
601-481-5727
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3628 LONGSTREET DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PEARL
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39208-3814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-481-5727
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/01/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  D-1811 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com