Bolton, Latrice
Bolton, Latrice is an individual health care provider with primary practice located at 517 W Town Center Blvd , Champaign IL 61822-1248. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bolton, Latrice can be contacted via phone (844) 263-1613.Contact Information
Primary practice address
517 W Town Center Blvd
Champaign IL 61822-1248
Phone: (844) 263-1613
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1235712928 |
|---|---|
| LBN Legal business name | Bolton, Latrice |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2021 |
| Last updated | Apr 30th, 2021 - about 4 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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