Bolton, Karen
Bolton, Karen is an sole proprietor health care provider with primary practice located at 1432 Lafayette Ln , Marietta GA 30068-2124. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Other Service Providers / Specialist is her primary health care specialty. Bolton, Karen can be contacted via phone (770) 403-5651.Contact Information
Primary practice address
1432 Lafayette Ln
Marietta GA 30068-2124
Phone: (770) 403-5651
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OT001099 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1702630 | Kansas |
Profile Details
| NPI number | 1760548697 |
|---|---|
| LBN Legal business name | Bolton, Karen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jan 31st, 2017 - about 7 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 | 1760548697 | NPPES |
| Georgia | MEDICAID | 000759976C |
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