Bolton, Edgar B
Bolton, Edgar B is an sole proprietor health care provider with primary practice located at 1900 N University Dr Suite 107, Pembroke Pines FL 33024-3618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Bolton, Edgar B can be contacted via phone (954) 441-1616.Contact Information
Primary practice address
1900 N University Dr Suite 107
Pembroke Pines FL 33024-3618
Phone: (954) 441-1616
Fax: (954) 766-8199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | OS2458 | Florida |
Profile Details
| NPI number | 1487635462 |
|---|---|
| LBN Legal business name | Bolton, Edgar B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Feb 11th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487635462 | NPPES |
| Florida | MEDICAID | 037708200 | |
| Florida | Other | HF850A |
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