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Contact Information

JEFFREY E BOLEK, PHD
21403 CHAGRIN BLVD
BEACHWOOD, OH44122-5322
 Phone: 216-346-5673
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JEFFREY E BOLEK · (Male)

NPI Number 1134217532
Status Active
Credentials PHD
Entity Individual
Enumeration date 10/11/2006
Last updated 09/17/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 3496
  • OH Medicaid 2057116
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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