Bolton, Brian Daniel

Bolton, Brian Daniel is an individual health care provider with primary practice located at 303 E Chicago Ave Ward6-204, Chicago IL 60611-4296. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bolton, Brian Daniel can be contacted via phone (312) 503-8144.

Contact Information

Primary practice address
303 E Chicago Ave Ward6-204 Chicago IL 60611-4296
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 125-049094 Illinois

Profile Details

NPI number 1073761128
LBN Legal business name Bolton, Brian Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2008
Last updated Sep 3rd, 2008 - about 16 years 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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