Bolton, Leslie Roy
Bolton, Leslie Roy is an individual health care provider with primary practice located at 1636 Regulus Ave , Virginia Beach VA 23461-2200. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Bolton, Leslie Roy can be contacted via phone (757) 492-2026.Contact Information
Primary practice address
1636 Regulus Ave
Virginia Beach VA 23461-2200
Phone: (757) 492-2026
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1316146731 |
|---|---|
| LBN Legal business name | Bolton, Leslie Roy |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2007 |
| Last updated | Jul 16th, 2007 - about 17 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 | 1316146731 | NPPES |
| Virginia | Other | INDEPENDENT DUTY COR | MILITARY |
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