Michael T. Bollinger, Md, A Professional Corporation in Sebastopol - Specialist
Michael T. Bollinger, Md, A Professional Corporation - NPI 1558535419
Michael T. Bollinger, Md, A Professional Corporation is a Specialist in Sebastopol, California. Michael T. Bollinger, Md, A Professional Corporation practices all healthcare services and medical treatments related to Specialist. The NPI Number for Michael T. Bollinger, Md, A Professional Corporation is 1558535419. The last update date is 2011-06-30.
Michael T. Bollinger, Md, A Professional Corporation's current location address is 555 Petaluma Ave Ste B, Sebastopol, California. You can contact this provider via phone number 7078237602 and fax number 7078237625. The mailing address for Michael T. Bollinger, Md, A Professional Corporation is 555 Petaluma Ave Ste B, Sebastopol, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael T. Bollinger, Md, A Professional Corporation |
|---|---|
| Address | 555 Petaluma Ave Ste B, Sebastopol, California |
| Phone Number | 7078237602 |
| Fax Number | 7078237625 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/PHYSIC |
|---|---|
| Authorized Official Name | Bollinger Thomas Michael |
| Credentials | M.D. |
| Telephone Number | 7078237602 |
NPI Number Detail
| NPI Number | 1558535419 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2011-06-30 |
Provider Mailing Address Detail
| Address | 555 Petaluma Ave Ste B |
|---|---|
| City | Sebastopol |
| State | California (CA) |
| Post Code | 954724225 |
| Phone Number | 7078237602 |
| Fax Number | 7078237625 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A65404 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A654040 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael T. Bollinger, Md, A Professional Corporation by the Centers for Medicare & Medicaid Services?
The Michael T. Bollinger, Md, A Professional Corporation has been issued the NPI (National Provider Identifier) 1558535419, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Michael T. Bollinger, Md, A Professional Corporation is physically located?
The Michael T. Bollinger, Md, A Professional Corporation is situated at the following address: 555 Petaluma Ave Ste B, Sebastopol, CA 954724225.
What is Michael T. Bollinger, Md, A Professional Corporation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael T. Bollinger, Md, A Professional Corporation is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Michael T. Bollinger, Md, A Professional Corporation receive the assignment of its 1558535419 from the Centers for Medicare & Medicaid Services?
The Michael T. Bollinger, Md, A Professional Corporation was issued its 1558535419 by the Centers for Medicare & Medicaid Services on 2008-04-22.
As of what date were the details pertaining to Michael T. Bollinger, Md, A Professional Corporation last refreshed?
The information related to the Michael T. Bollinger, Md, A Professional Corporation, including its address, specialty, and other relevant details, was last updated on 2011-06-30.