SHANNON MARY BOLGER ATC
NPI 1548615362
Student in an Organized Health Care Education/Training Program in Maple Glen, PA

Q: What is Shannon Bolger's NPI number?

The NPI number for Shannon Bolger is 1548615362. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Q: What is Shannon Bolger's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Bolger was last updated on April 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 29, 2016

1700 LUDWELL DR, MAPLE GLEN, PA 19002(610) 724-1185 Get Directions Write a Review

NPPES record last updated: April 29, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Shannon Mary Bolger Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON MARY BOLGER ATC (NPI 1548615362) is an individual student in an organized health care education/training program in Maple Glen, Pennsylvania and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1548615362

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHANNON MARY BOLGERCredential: ATC

Location Address1700 LUDWELL DRMaple Glen, PA 19002-3027

Mailing Address1700 Ludwell DrMaple Glen, PA 19002-3027 · (610) 724-1185

Phone(610) 724-1185

Sole ProprietorYes

Enumeration DateApril 29, 2016

✔ NPI 1548615362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

1700 LUDWELL DR, Maple Glen, PA 19002

Open in Google Maps ↗

Other Identifiers 2

Other2255A2300XPA · Specialist/technologist - Athletic Trainer

Other390200000XPA · Student In An Organized Health Care Education/training Program

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Bolger's NPI number?

The NPI number for Shannon Bolger is 1548615362. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Where is Shannon Bolger located?

Shannon Bolger practices at 1700 Ludwell Dr, Maple Glen, PA 19002. The listed phone number is (610) 724-1185.

What is Shannon Bolger's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shannon Bolger was last updated on April 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.