Philip Bolling

Individual provider Active NPI Adult Companion · Fort Calhoun, NE

NPI 1114813151 · NPPES record last updated Jun 24, 2025

Key facts

NPI
1114813151
Entity type
Individual (NPI type 1)
Primary specialty
Adult Companion 372600000X
Practice address
4128 Red Fox LN
Fort Calhoun, NE 68023-5272
Phone
(402) 312-7412
NPI assigned
Jun 16, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X Yes

Addresses

Primary practice location

4128 Red Fox LN
Fort Calhoun, NE 68023-5272

Mailing address

4128 Red Fox LN
Fort Calhoun, NE 68023-5272
Phone (402) 312-7412

Other providers in Fort Calhoun, NE

All providers in Fort Calhoun, NE · Adult Companion in Nebraska

Sources for this page

Verify at the official NPI Registry.