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Contact Information

BONNIE M BOLASH, LAC.
4060 HAMPSHIRE AVE N
CRYSTAL, MN55427-1443
 Phone: 763-537-4955
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for BONNIE M BOLASH · (Female)

NPI # 1548461338
Status Active
Credentials LAC.
Entity Individual
Enumeration date 05/30/2007
Last updated 01/11/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 1176
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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