Doctor Name: | MRS. MARY ELIZABETH BOLGER |
NPI Number: | 1285838490 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTRL |
License Number: | KY-R2141 |
Business Practice Address: | 2003 Pieck Dr Ft Mitchell, KY - 410112627 |
Business Phone Number: | 8596531927 |
Business Fax Number: | |
Mailing Address: | 1 Sperti Dr, EDGEWOOD |
State: | KY |
Postal Code: | 410179654 |
Phone Number: | 8593449322 |
Fax Number: | 8593449332 |
NPI Enumeration Date: | 06/12/2007 |
NPI Last Update Date: | 04/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171W00000X |
License Number: | KY-R2141 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |