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Contact Information

JACOB R BOLLING, DPM
95 VERNON ST
WORCESTER, MA01610-1988
 Phone: 508-755-2466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JACOB R BOLLING · (Male)

NPI Number 1942822911
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/13/2020
Last updated 09/27/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 2545
  • MA License # PDF2545
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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