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Contact Information

BRYAN E BOLEN, DO
909 WILSON RD RM B119
EAST LANSING, MI48824-6410
 Phone: 517-353-3070
 Fax: 517-884-1817
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BRYAN E BOLEN · (Male)

NPI Number 1548820467
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/13/2019
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5101026250
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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