JENNIFER BOLNICK

Address: 904 7th Ave, Seattle, WA 98104
Phone: 2068605404

JENNIFER BOLNICK (NPI# 1073650693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073650693
Entity Type Individual
Full Name JENNIFER BOLNICK
Credential M.D.
Practice Address 904 7th Ave
Seattle
WA 98104
Mailing Address Po Box 34584
Seattle
WA 98124-1584
Practice Telephone 2068605404
Practice Fax Number 2068602295
Mailing Telephone 5092417349
Mailing Fax Number 5092417316
Enumeration Date 2007-01-31
Last Update Date 2018-05-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD00027849 WA Allopathic & Osteopathic Physicians
N 208D00000X General Practice MD00027849 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 8133613 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
200 15th Ave E, Seattle, WA 981125260 2063263000

Office Location

Street Address 904 7TH AVE
City SEATTLE
State WA
Zip Code 98104

Providers in the same location

NPI Name Address
1376546713 WILLIAM TODD JOHNSTON 904 7th Ave, Seattle, WA 98104-1132
1396210704 SHEREE REED 904 7th Ave, Seattle, WA 98104-1132
1346733250 EMILY C HOWIESON 904 7th Ave, Seattle, WA 98104
1881118172 ALEKS BOLDYREV 904 7th Ave, Seattle, WA 98104-1132
1154843530 KATHERINE PARIKH 904 7th Ave, Seattle, WA 98104-1132
1477080547 CARL JAMES BRODIE IV 904 7th Ave, Seattle, WA 98104-1132
1114453263 SEJIN MADDALONI 904 7th Ave, Seattle, WA 98104
1942733860 THERESA BUTLER 904 7th Ave, Seattle, WA 98104-1132
1871036152 JASMINE MILLER 904 7th Ave, 9th Floor, Suite C, Seattle, WA 98104-1132
1083169114 MEGHAN HENNESSEY 904 7th Ave, Seattle, WA 98104-2859

Competitor

Search similar providers

City SEATTLE
Zip Code 98104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.