Bolton, Mark
Bolton, Mark is an sole proprietor health care provider with primary practice located at 549 Taylor Ave , Cape Canaveral FL 32920-5204. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Bolton, Mark can be contacted via phone (313) 258-4137.Contact Information
Primary practice address
549 Taylor Ave
Cape Canaveral FL 32920-5204
Phone: (313) 258-4137
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | CC-0C4150341544 | Michigan |
Profile Details
| NPI number | 1164128625 |
|---|---|
| LBN Legal business name | Bolton, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2023 |
| Last updated | Feb 6th, 2023 - about last year |
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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