1508582685 NPI number — ALYSSA M BOLANDER

Table of content: ALYSSA M BOLANDER (NPI 1508582685)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508582685 NPI number — ALYSSA M BOLANDER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BOLANDER
Provider First Name:
ALYSSA
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
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:
1508582685
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/19/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3640 COLONEL GLENN HWY, 117 HEALTH SCIENCE BLDG.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DAYTON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45435
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
937-775-3458
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3640 COLONEL GLENN HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DAYTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45435-0002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-775-3458
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/19/2022

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: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 48G74054535 . This is a "THE TRUST SPONSORED STUDENT LIABILITY PROGRAM" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 48G74054535 . This is a "THE TRUST OF SPONSORED STUDENT LIABILITY PROGRAM" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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