Bolton, Larry Taylor
Bolton, Larry Taylor is an sole proprietor health care provider with primary practice located at 303 Parks Ave , Scottsboro AL 35768-2411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bolton, Larry Taylor can be contacted via phone (256) 574-3623.Contact Information
Primary practice address
303 Parks Ave
Scottsboro AL 35768-2411
Phone: (256) 574-3623
Fax: (256) 574-6223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5951 | Alabama |
Profile Details
| NPI number | 1447303367 |
|---|---|
| LBN Legal business name | Bolton, Larry Taylor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jun 22nd, 2024 - about 5 months 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 | 1447303367 | NPPES |
| Alabama | MEDICAID | 000000569 | |
| Alabama | Other | 051000569 |
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