Bolton, Jeffrey David
Bolton, Jeffrey David is an sole proprietor health care provider with primary practice located at 4601 E Broadway Blvd , Tucson AZ 85711-3511. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bolton, Jeffrey David can be contacted via phone (520) 399-6000.Contact Information
Primary practice address
4601 E Broadway Blvd
Tucson AZ 85711-3511
Phone: (520) 399-6000
Fax: (520) 399-6002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 8688 | Arizona |
| Chiropractic Providers / Chiropractor | 111N00000X | 2301006540 | Michigan |
Profile Details
| NPI number | 1366408999 |
|---|---|
| LBN Legal business name | Bolton, Jeffrey David |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2006 |
| Last updated | Oct 21st, 2021 - about 3 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 | 1366408999 | NPPES |
| Arizona | MEDICAID | 590722 |
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