JERIE JOHANNA BOLIN


Address: 117 Health Sciences Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435
Phone: 9377753458

JERIE JOHANNA BOLIN (NPI# 1689180622) 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) 1689180622
Entity Type Individual
Full Name JERIE JOHANNA BOLIN
Credential MA
Practice Address 117 Health Sciences Bldg
3640 Colonel Glenn Hwy
Dayton
OH 45435
Mailing Address 6001 Pine Glen Ln
Dayton
OH 45424-4476
Practice Telephone 9377753458
Practice Fax Number 9377753434
Mailing Telephone 8599400125
Enumeration Date 2017-12-28
Last Update Date 2017-12-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 117 HEALTH SCIENCES BLDG
3640 COLONEL GLENN HWY
City DAYTON
State OH
Zip Code 45435

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750921052 Mara Jolene Neel Student in an Organized Health Care Education/Training Program 117 Health Sciences Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 2020-01-14
1104466408 Avantika Gupta Student in an Organized Health Care Education/Training Program 117 Health Sciences Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 2020-01-14
1902440498 Emily Chriswell Student in an Organized Health Care Education/Training Program 117 Health Sciences Bldg, Dayton, OH 45435-0001 2019-10-29
1659871069 Laila Nicole Moussi Student in an Organized Health Care Education/Training Program 117 Health Sciences Bldg, 3640 Colonel Glenn Hwy., Dayton, OH 45435 2018-02-13
1861909715 Jessica Lynn Mccarthy Student in an Organized Health Care Education/Training Program 117 Health Sciences Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 2018-01-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538706940 Anthony Kelemen Student in an Organized Health Care Education/Training Program Sopp At Wright State University, 117 Health Sci Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 2019-12-04
1801444955 Ashley Elizabeth Murphy Student in an Organized Health Care Education/Training Program Wsu School of Professional Psychology, 3640 Colonel Glenn Hwy, 117 Health Sciences Bldg, Dayton, OH 45435 2019-09-02
1659854370 Rachel Heckaman Student in an Organized Health Care Education/Training Program Sopp Wright State Univerity 117 Health Science Bldg., 3640 Colonel Glenn Hwy, Dayton, OH 45435 2018-09-09
1508374547 Somer Leanne Yoho Student in an Organized Health Care Education/Training Program 117 Health Sciences Building, 3640 Colonel Glenn Hwy, Dayton, OH 45435 2018-01-11
1578079810 Heather Ann Felerski Student in an Organized Health Care Education/Training Program 117 Health Sciences Bldg., 3640 Colonel Glenn Hwy., Dayton, OH 45435 2017-12-22
1154771392 Abigail Ngayan Counselor 3640 Colonel Glenn Hwy., 053 Student Union, Dayton, OH 45435 2016-06-19
1144512799 Adam Horseman Specialist/Technologist 3640 Col. Glenn Hwy., Room 356 Nutter Center, Dayton, OH 45435 2011-05-13
1790999589 Luis Tony Ortiz Specialist/Technologist 3640 Colonel Glen Hwy, Room 303 Nutter Center, Dayton, OH 45435 2007-05-10
1164037446 Jaden D Johnson Student in an Organized Health Care Education/Training Program 3640 Colonel Glenn Hwy., 117 Health Sciences Bldg, Dayton, OH 45435 2020-09-13
1720693484 Vanessa Prosper Student in an Organized Health Care Education/Training Program 3640 Colonel Glenn Hwy., 117 Health Sciences Bldg., Dayton, OH 45435 2020-09-10
Find all providers in zip 45435

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205434925 Madeline Mae Juergens Student in an Organized Health Care Education/Training Program 3600 Colonel Glenn Hwy 117 Health Sciences Bldg, Dayton, OH 45435-0001 2020-10-14
1932729662 Benjamin Mallicoat Student in an Organized Health Care Education/Training Program 128 E Apple St Ste 2800, Dayton, OH 45409-2902 2020-04-22
1306465877 Chase Smith Student in an Organized Health Care Education/Training Program 4100 W 3rd St Bldg 330, Dayton, OH 45428-9000 2020-04-14
1255960233 Landon Rosevear Student in an Organized Health Care Education/Training Program 128 E Apple St Fl 7, Dayton, OH 45409-2902 2020-04-02
1598392391 Brett Douglas Foster Student in an Organized Health Care Education/Training Program 12 Garret St, Dayton, OH 45410-1226 2020-03-24
1538706940 Anthony Kelemen Student in an Organized Health Care Education/Training Program Sopp At Wright State University, 117 Health Sci Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 2019-12-04
1275184764 Rachel Wininger Student in an Organized Health Care Education/Training Program 117 Health Sciences Building 3640 Colonel Glenn Highway, Dayton, OH 45435-0001 2019-09-25
1801444955 Ashley Elizabeth Murphy Student in an Organized Health Care Education/Training Program Wsu School of Professional Psychology, 3640 Colonel Glenn Hwy, 117 Health Sciences Bldg, Dayton, OH 45435 2019-09-02
1245888304 Melissa Irene Schmerr Student in an Organized Health Care Education/Training Program School of Professional Psychology Wright State Universi, 117 Health Science Bldg. 3640 Colonel Glenn Hwy., Dayton, OH 45435-0001 2019-08-30
1427510510 Michael S Hatesohl Student in an Organized Health Care Education/Training Program 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 2019-04-05
Find all providers in DAYTON

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City DAYTON
Zip Code 45435

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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.

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