Maxie Bolden, RPH

NPI 1396952412 · on the registry since 2007 · sole proprietor

Practice

Address: 714 N Michigan St
South Bend, IN 46601
Phone: (574) 647-7176
Fax: (574) 647-6767
Organisation at this address: Memorial Hospital
Memorial Home Care, Inc.
Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 81

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana