Jan P Bolger is a Clinical in Fayetteville, North Carolina. Jan P Bolger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jan P Bolger is 1942262985. The last update date is 2007-07-08.
Jan P Bolger's current location address is Vamc-2300 Ramsey Street, Fayetteville, North Carolina. You can contact this provider via phone number 9104882120 and fax number 9108227089. The mailing address for Jan P Bolger is Vamc-2300 Ramsey Street, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jan P Bolger |
|---|---|
| Address | Vamc-2300 Ramsey Street, Fayetteville, North Carolina |
| Phone Number | 9104882120 |
| Fax Number | 9108227089 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1942262985 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Vamc-2300 Ramsey Street |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 28310 |
| Phone Number | 9104882120 |
| Fax Number | 9108227089 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C-004570 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code assigned to Jan P Bolger by the Centers for Medicare & Medicaid Services?
The Jan P Bolger has been issued the NPI (National Provider Identifier) 1942262985 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jan P Bolger?
The Jan P Bolger is situated at Vamc-2300 Ramsey Street, in the city of Fayetteville, state of NC, with the zip code 28310.
What is the Jan P Bolger's specialty and taxonomy code?
The Jan P Bolger's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did the Jan P Bolger receive its 1942262985?
The Jan P Bolger was issued its 1942262985 on 2006-04-05, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jan P Bolger last refreshed?
The information related to the Jan P Bolger, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY