Active NPIIndividual providerSole proprietor

Ena-Lynnette Bolling II

Specialist/Technologist, Athletic Trainer in East Stroudsburg, Pennsylvania

NPI Number1609408558
Practice location
200 Prospect St, East Stroudsburg, PA 18301-2956
Fax
—
Last updated
February 9, 2020

Ena-Lynnette Bolling is a Specialist/Technologist, Athletic Trainer based in East Stroudsburg, PA. Ena-Lynnette Bolling practices in East Stroudsburg, PA. The NPI Number for Ena-Lynnette Bolling is 1609408558. The current practice location address for Ena-Lynnette Bolling is 200 Prospect St, East Stroudsburg, PA 18301-2956 and can be reached out via phone at 570-422-2862.

Provider Profile Details

NPI Number
1609408558
Provider Name
Ena-Lynnette Bolling
Provider Entity Type
Individual
Gender
Female
Address
200 Prospect St, East Stroudsburg, PA 18301-2956
Phone Number
570-422-2862
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 9, 2020
Last Update Date
February 9, 2020
Certification Date
February 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Prospect St
East Stroudsburg, PA 18301-2956
Zip
18301-2956
Phone Number
570-422-2862
East Stroudsburg, PA 18301Get directions →

Provider Business Mailing Address Details

Address
83 W 7TH St
Burlington, NJ 08016-3231
City
Burlington
State
NJ
Zip
08016-3231

License Information

License State
PA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ena-Lynnette Bolling II?

The NPI number of Ena-Lynnette Bolling II is 1609408558. It was assigned on February 9, 2020 and is currently active in the NPPES registry.

What is the specialty of Ena-Lynnette Bolling II?

Ena-Lynnette Bolling II is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Ena-Lynnette Bolling II practice?

The practice location is 200 Prospect St, East Stroudsburg, PA 18301-2956. The office can be reached at 570-422-2862 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609408558 directly on the NPPES registry website.

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