MEDICARE: MICHAEL RAYMOND BOLINSKY EMT P

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146L00000X	Paramedic	198307	PA

General Provider Information

NPI Number	:	1306136775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL RAYMOND BOLINSKY EMT P

Provider Business Mailing Address
First Line	:	101 PINE SPRINGS BLVD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17408-6236
Country	:	US
Telephone Number	:	717-965-1077
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 PINE SPRINGS BLVD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17408-6236
Country	:	US
Telephone Number	:	717-965-1077
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2011
Last Update Date	:	09/19/2012

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