(Jared) Bollenbacher's National Provider Identifier (NPI) Details
(Jared) Bollenbacher,
NPI: 1104446400
Enumeration Date: 2020-04-16
Last updated: 2020-04-16
Sole Proprietor: YES
Status: active
Postal Address: 467 WILSON AVE, COLUMBUS, OH
Phone: 260-615-0021
Primary Practice Address: 467 WILSON AVE, COLUMBUS, OH
Practice's phone: 260-615-0021