Provider Demographics
NPI:1326756867
Name:BOLING, RONALD THOMAS (QBHP)
Entity Type:Individual
Prefix:MRS
First Name:RONALD
Middle Name:THOMAS
Last Name:BOLING
Suffix:
Gender:M
Credentials:QBHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 INDIAN TRL
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-5917
Mailing Address - Country:US
Mailing Address - Phone:501-203-7275
Mailing Address - Fax:
Practice Address - Street 1:1009 E BEEBE CAPPS EXPY
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-6805
Practice Address - Country:US
Practice Address - Phone:501-203-7275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator