Mr. Dwight Eugene Bolejack
Occupational Therapist - Gerontology
3801 Old Bruceville Rd
Vincennes
, Indiana 47591-3889
Mr. Dwight Eugene Bolejack
Occupational Therapist - Gerontology
3801 Old Bruceville Rd
Vincennes
, Indiana 47591-3889
(317) 443-6099
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Mr. Dwight Eugene Bolejack
- 10222 N County Road 1075 E
- Brownsburg, IN
- Zip : 46112-9659
- Phone : (317) 443-6099
Second Address
- Mr. Dwight Eugene Bolejack
- 3801 Old Bruceville Rd
- Vincennes, IN
- Zip : 47591-3889
- Fax : (812) 886-4678
- Phone : (812) 886-4677
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Is Mr. Dwight Eugene Bolejack a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 31002064A | IN |
National Provider Identifier
| NPI | 1144571779 |
|---|---|
| Provider Name | Mr. Dwight Eugene Bolejack |
| First Address | Brownsburg, IN 46112-9659 |
| Second Address | Vincennes, IN 47591-3889 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2012 |
| Last Update Date | 22/09/2012 |
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.