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Contact Information

DAVID H BOLONKIN, DPM
2818 GRANT LINE RD
NEW ALBANY, IN47150-2492
 Phone: 812-725-7542
 Fax: 812-725-7543
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DAVID H BOLONKIN · (Male)

NPI Number 1184640088
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/14/2006
Last updated 04/06/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 07000563
  • IN Medicaid 100075780
  • IN Other 000000942326 ANTHEM
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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