Bolton, Jesse D.

Bolton, Jesse D. is an individual health care provider with primary practice located at 274 Union Blvd Suite 110, Lakewood CO 80228-1813. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Bolton, Jesse D. can be contacted via phone (303) 951-0600.

Contact Information

Primary practice address
274 Union Blvd Suite 110 Lakewood CO 80228-1813
Phone: (303) 951-0600
Fax: (303) 951-0605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 41511 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 41511 Colorado

Profile Details

NPI number 1770619256
LBN Legal business name Bolton, Jesse D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jan 18th, 2012 - about 12 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 1770619256 NPPES
Colorado MEDICAID 04594040
Colorado MEDICAID 64174301

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