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Contact Information

TERRENCE C BOLGER
1541 ANNEX ROAD
JEFFERSON, WI53549
 Phone: 920-674-8799
 Fax: 920-674-2359
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for TERRENCE C BOLGER · (Male)

NPI Number 1750768065
Status Active
Credentials
Entity Individual
Enumeration date 05/06/2015
Last updated 05/06/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers Not Available
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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