BOLGER AESTHESTICS PC NPI 1124449780

NPI Information

NPI: 1124449780
Provider Name: BOLGER AESTHESTICS, PC

Doing Business As: MEDICAL AESTHETICS AND WELLNESS CENTER

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
5510 UTICA RIDGE RD
SUITE 300
DAVENPORT, IA
ZIP 52807
Phone: (563) 355-4813
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BOLGER AESTHESTICS, PC is a health service clinic center in Davenport, IA. BOLGER AESTHESTICS, PC NPI is 1124449780. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Aesthetics And Wellness Center.

The provider's business location address is:

5510 UTICA RIDGE RD
SUITE 300
DAVENPORT, IA
ZIP 52807-946
Phone: (563) 355-4813
Fax: (563) 594-5161

The provider's authorized official is Paul Bolger .
The authorized official title is Owner and has the following contact phone number (563) 355-4813.

The enumeration date for this NPI number is 12/30/2013 and was last updated on 1/31/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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