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Dr. Thomas Joseph Bollaert

Family Doctor Family Doctor - Sports Medicine

3904 16th St
Moline , Illinois 61265-1275

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Dr. Thomas Joseph Bollaert

Family Doctor Family Doctor - Sports Medicine

3904 16th St
Moline , Illinois 61265-1275

(309) 581-7600

Write a Review Save Call

Dr. Thomas Joseph Bollaert

Family Doctor Family Doctor - Sports Medicine

3904 16th St
Moline , Illinois 61265-1275

(309) 581-7600 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Sports Medicine

Languages spoken

  • English

Location

3904 16th St Moline , Illinois 61265-1275

First Address

  • Dr. Thomas Joseph Bollaert
  • 3904 16th St
  • Moline, IL
  • Zip : 61265-1275
  • Phone : (309) 581-7600

Second Address

  • Dr. Thomas Joseph Bollaert
  • 3904 16th St
  • Moline, IL
  • Zip : 61265-1275
  • Phone : (309) 581-7600

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FAQs


Where did Dr. Thomas Joseph Bollaert attend graduate school?

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Where did Dr. Thomas Joseph Bollaert do his residency?

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Where did Dr. Thomas Joseph Bollaert do his fellowship?

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Is Dr. Thomas Joseph Bollaert board certified?

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What type of doctor is Dr. Thomas Joseph Bollaert

Family Doctor - Sports Medicine

In what state does Dr. Thomas Joseph Bollaert practice in?

Illinois

Where is Dr. Thomas Joseph Bollaert ’s practice located?

3904 16th St , Moline, Illinois, 61265-1275

What is Dr. Thomas Joseph Bollaert ’s gender?

Male

Is Dr. Thomas Joseph Bollaert a sole practitioner?

No

Is Dr. Thomas Joseph Bollaert accepting new patients?

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What languages does Dr. Thomas Joseph Bollaert speak?

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Does Dr. Thomas Joseph Bollaert accept insurance?

Yes, Dr. Thomas Joseph Bollaert accepts insurance

Does Dr. Thomas Joseph Bollaert offers telemedicine?

Dr. Thomas Joseph Bollaert has not indicated if he offers telemedicine

What is Dr. Thomas Joseph Bollaert ’s professional license number?

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What is Dr. Thomas Joseph Bollaert ’s NPI number?

1245680651

Does Dr. Thomas Joseph Bollaert have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207Q00000X Family Doctor 125069405 IL
Y 207QS0010X Family Doctor - Sports Medicine 036.154509 IL

National Provider Identifier

NPI 1245680651
Provider Name Dr. Thomas Joseph Bollaert
First Address Moline, IL 61265-1275
Second Address Moline, IL 61265-1275
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 16/06/2016
Last Update Date 19/01/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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