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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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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