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Contact Information

JO ANN N BOLLI, MD
308 S WASHINGTON ST
CLINTON, KY42031-1340
 Phone: 270-254-3021
 Fax: 270-254-3023
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for JO ANN N BOLLI · (Female)

NPI # 1134198526
Status Active
Credentials MD
Entity Individual
Enumeration date 03/16/2006
Last updated 12/27/2016 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 43737
  • TN Medicaid 4046827
  • KY Other 000000502868 BCBS
  • TN Other 4143318 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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