Mr. Jordan Bolan
Mr. Jordan Bolan is an Athletic Trainer in Columbia, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
1319 Dover StColumbia, SC 29201-4463
Phone: (585) 645-7824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1932577905 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 9, 2015 |
| Last updated in NPPES | September 9, 2015 |
| Mailing address | 1319 Dover St, Columbia, SC 29201-4463 |
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