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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366408999 NPPES
Arizona MEDICAID 590722

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