Provider Demographics
NPI:1659997021
Name:BOLINJI, NAPHTALINE
Entity Type:Individual
Prefix:
First Name:NAPHTALINE
Middle Name:
Last Name:BOLINJI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4215 KING BIRD LN
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-0825
Mailing Address - Country:US
Mailing Address - Phone:240-476-5760
Mailing Address - Fax:
Practice Address - Street 1:4215 KING BIRD LN
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-0825
Practice Address - Country:US
Practice Address - Phone:240-476-5760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide