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MR. JORDAN BOLAN
NPI 1932577905
Student in an Organized Health Care Education/Training Program in Columbia, SC

Active since September 09, 2015
1319 DOVER ST, COLUMBIA, SC 29201(585) 645-7824 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jordan Bolan NPPES

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

MR. JORDAN BOLAN (NPI 1932577905) is an individual student in an organized health care education/training program in Columbia, South Carolina and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1932577905
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JORDAN BOLAN
Location Address1319 DOVER STColumbia, SC 29201-4463
Mailing Address1319 Dover StColumbia, SC 29201-4463 · (585) 645-7824
Phone(585) 645-7824
Sole ProprietorYes
Enumeration DateSeptember 9, 2015
✔ NPI 1932577905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1319 DOVER ST, Columbia, SC 29201
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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 Jordan Bolan's NPI number?

The NPI number for Jordan Bolan is 1932577905. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Where is Jordan Bolan located?

Jordan Bolan practices at 1319 Dover St, Columbia, SC 29201. The listed phone number is (585) 645-7824.

What is Jordan Bolan'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 Jordan Bolan was last updated on September 9, 2015. 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.