Dr. Jonathan Andrew Bolles
Internist - Cardiovascular Disease
1201 S Miller St Ste A
Wenatchee
, Washington 98801-3201
Dr. Jonathan Andrew Bolles
Internist - Cardiovascular Disease
1201 S Miller St Ste A
Wenatchee
, Washington 98801-3201
(509) 663-8711
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Jonathan Andrew Bolles
- 820 N Chelan Ave
- Wenatchee, WA
- Zip : 98801-2028
- Phone : (509) 663-8711
Second Address
- Dr. Jonathan Andrew Bolles
- 1201 S Miller St Ste A
- Wenatchee, WA
- Zip : 98801-3201
- Phone : (509) 663-8711
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | 23017 | NE |
| Y | 207RC0000X | Internist - Cardiovascular Disease | MD60260896 | WA |
National Provider Identifier
| NPI | 1003839093 |
|---|---|
| Provider Name | Dr. Jonathan Andrew Bolles |
| First Address | Wenatchee, WA 98801-2028 |
| Second Address | Wenatchee, WA 98801-3201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 14/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003839093 | (05) | WA |
| 315727 | WVH LNI (01) | WA |
| P01096688 | RR MEDICARE WVH (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.