Provider Demographics
NPI:1629333133
Name:BOLING, WHITNEY (MD)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:BOLING
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2746 OLD US 20 W
Mailing Address - Street 2:STE B
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46514-1364
Mailing Address - Country:US
Mailing Address - Phone:574-293-3545
Mailing Address - Fax:574-522-0599
Practice Address - Street 1:2746 OLD US 20 W
Practice Address - Street 2:STE B
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46514-1364
Practice Address - Country:US
Practice Address - Phone:574-293-3545
Practice Address - Fax:574-522-0599
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2017-04-17
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Provider Licenses
StateLicense IDTaxonomies
IN01077024A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology