Dr. Jeffery A Bollenbacher, D.O.
Orthopaedic Surgery in Terre Haute, IN. Individual provider (NPI-1).
NPI number1952458580
StatusActive
Last updated in NPPESFeb 1, 2008
Details
- NPI
- 1952458580
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffery A Bollenbacher
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2007
- Last updated
- Feb 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 02001578 | IN | Yes |
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | 02001578 | IN |
Practice location
3903 S 7th St Ste 1aTerre Haute, IN 47802-5710
Phone 812-237-1411 · Fax 812-237-9242
Mailing address
Po Box 3402Terre Haute, IN 47803-0402
Phone 812-234-4243 · Fax 812-478-3663
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