John A Bolin is a Surgery in Lafayette, Louisiana. John A Bolin practices all healthcare services and medical treatments related to Surgery. The NPI Number for John A Bolin is 1205811643. The last update date is 2007-07-09.
John A Bolin's current location address is 4630 Ambassador Caffery Pkwy, Lafayette, Louisiana. You can contact this provider via phone number 3379898770 and fax number 3379898768. The mailing address for John A Bolin is 4630 Ambassador Caffery Pkwy, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John A Bolin |
|---|---|
| Address | 4630 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Phone Number | 3379898770 |
| Fax Number | 3379898768 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205811643 |
|---|---|
| Provider Enumeration Date | 2005-12-08 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4630 Ambassador Caffery Pkwy |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705086949 |
| Phone Number | 3379898770 |
| Fax Number | 3379898768 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 10571 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1442291 | LA | -- | |
| 1119491 | LA | -- |
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What is the unique 10-digit identifier code issued to John A Bolin by the Centers for Medicare & Medicaid Services?
The John A Bolin has been assigned the NPI (National Provider Identifier) 1205811643 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where John A Bolin's facilities are geographically located?
The facilities of John A Bolin are physically situated at the following location: 4630 Ambassador Caffery Pkwy, Lafayette, LA, 705086949.
What is John A Bolin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John A Bolin is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did the John A Bolin receive the assignment of its 1205811643 from the Centers for Medicare & Medicaid Services?
The John A Bolin was issued its 1205811643 by the Centers for Medicare & Medicaid Services on 2005-12-08.
When was the information regarding John A Bolin most recently updated?
The details pertaining to the John A Bolin, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
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