National Provider Identifier Database

ALEX R BOLLER, PA-C – NPI #1568449205
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

ALEX R BOLLER, PA-C
301 HIWASSEE COMMUNITY DR.
MADISONVILLE, TN37354
Phone: 423-436-7730
Fax: 423-436-0384
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for ALEX R BOLLER

NPI Number 1568449205
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/23/2005
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 004090
  • PA License #: MA-001385-L
  • TN License #: 4902
  • Other: 910248 NCCPA #
  • NY Other: 004090 LICENSE
  • PA Other: MA-001385-L LICENSE
Hospital affiliation n/a

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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