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Contact Information

THOMAS BOLEY
109 N FAIRLAND ST
PRYOR CREEK, OK74361-4205
 Phone: 918-825-1405
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for THOMAS BOLEY · (Male)

NPI # 1225413552
Status Active
Credentials
Entity Individual
Enumeration date 07/28/2015
Last updated 06/29/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OK License # L0057466
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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