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Contact Information

HEATHER BOLAN
3630 WILLOWCREEK RD
PORTAGE, IN46368-5075
 Phone: 219-364-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for HEATHER BOLAN · (Female)

NPI Number 1336519685
Status Active
Credentials
Entity Individual
Enumeration date 09/29/2015
Last updated 09/29/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 46002738A
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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