Dr. Jacob R Bolling, DPM
Podiatrist in Worcester, Massachusetts
1942822911- Practice location
- 95 Vernon St, Worcester, MA 01610-1988
- Phone
- 508-755-2466
- Fax
- —
- Last updated
- September 27, 2024
Jacob Ryan Bolling is a Podiatrist based in Worcester, MA. Jacob Ryan Bolling practices in Worcester, MA and has the professional credentials of DPM. The NPI Number for Jacob Ryan Bolling is 1942822911 and holds a License No. 2545 (MA). The current practice location address for Jacob Ryan Bolling is 95 Vernon St, Worcester, MA 01610-1988 and can be reached out via phone at 508-755-2466.
Provider Profile Details
- NPI Number
- 1942822911
- Provider Name
- Jacob Ryan Bolling
- Credential
- DPM
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 95 Vernon St, Worcester, MA 01610-1988
- Phone Number
- 508-755-2466
- Primary Taxonomy
- Podiatrist · 213E00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 13, 2020
- Last Update Date
- September 27, 2024
- Certification Date
- September 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 95 Vernon St
Worcester, MA 01610-1988 - City
- Worcester
- State
- Massachusetts
- Zip
- 01610-1988
- Phone Number
- 508-755-2466
Provider Business Mailing Address Details
- Address
- Po Box 34666
Belfast, ME 04915-0624 - City
- Belfast
- State
- ME
- Zip
- 04915-0624
- Phone Number
- 508-755-2466
- Fax Number
- 508-755-6883
License Information
- License Number (1)
- 2545
- License State (1)
- MA
- License Number (2)
- PDF2545
- License State (2)
- MA
- Taxonomy (2)
- Podiatrist · 213E00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Podiatrists near Worcester, MA
View all Podiatrists in Worcester →Frequently Asked Questions
What is the NPI number of Dr. Jacob R Bolling, DPM?
The NPI number of Dr. Jacob R Bolling, DPM is 1942822911. It was assigned on May 13, 2020 and is currently active in the NPPES registry.
What is the specialty of Dr. Jacob R Bolling, DPM?
Dr. Jacob R Bolling, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in MA under license number 2545.
Where does Dr. Jacob R Bolling, DPM practice?
The practice location is 95 Vernon St, Worcester, MA 01610-1988. The office can be reached at 508-755-2466 (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 1942822911 directly on the NPPES registry website.