JUSTIN BOLIG DO – NPI #1720962418
Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

JUSTIN BOLIG is a military health care provider located in HONOLULU, HI. NPPES has assigned the NPI number 1720962418 to JUSTIN BOLIG on August 05, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 171000000X from the Health Care Provider Taxonomy code set, which is classified as Military Health Care Provider.

See the complete NPI profile for JUSTIN BOLIG below.

NPI Profile for
JUSTIN BOLIG

NPI Number
1720962418
Enumeration Date

(about 10 months ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JUSTIN BOLIG
Credentials
DO
Primary location
1 JARRETT WHITE RD
HONOLULU, HI 96819
Phone: (505) 699-2068 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jul 29, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
171000000X
- Military Health Care Provider (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.