Individual provider · Type 1 NPI

Jordan Bolan

Student in an Organized Health Care Education/Training Program · Columbia, SC

NPI number 1932577905 Active

Practice location

1319 Dover St
Columbia, SC 29201-4463

Call (585) 645-7824 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1932577905

Jordan Bolan's National Provider Identifier is 1932577905, issued on Sep 9, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbia, SC. The record was last updated on Sep 9, 2015.