Bolton, Heather Diana

Bolton, Heather Diana is an individual health care provider with primary practice located at 307 F West Main St , Lebanon TN 37087. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bolton, Heather Diana can be contacted via phone (615) 449-4151.

Contact Information

Primary practice address
307 F West Main St Lebanon TN 37087
Phone: (615) 449-4151
Fax: (615) 449-1994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1192 Tennessee

Profile Details

NPI number 1831133727
LBN Legal business name Bolton, Heather Diana
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Oct 3rd, 2007 - about 18 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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