Bolton, Alexander Richard

Bolton, Alexander Richard is an individual health care provider with primary practice located at 4600 Memorial Dr Ste W1 , Belleville IL 62226-5359. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bolton, Alexander Richard can be contacted via phone (618) 233-3066.

Contact Information

Primary practice address
4600 Memorial Dr Ste W1 Belleville IL 62226-5359
Phone: (618) 233-3066
Fax: (618) 233-3066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036.163598 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036.163598 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036163598 Illinois

Profile Details

NPI number 1639581127
LBN Legal business name Bolton, Alexander Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2014
Last updated Feb 12th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639581127 NPPES
Iowa Other DO-05182 IOWA MEDICAL LICENSE
Iowa Other 036.163598 IOWA MEDICAL LICENSE

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