Bolton, Mary C
Bolton, Mary C is an individual health care provider with primary practice located at 10201 W Lincoln Ave 308, West Allis WI 53227-2136. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Bolton, Mary C can be contacted via phone (414) 329-7000.Contact Information
Primary practice address
10201 W Lincoln Ave 308
West Allis WI 53227-2136
Phone: (414) 329-7000
Fax: (414) 329-7010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2219057 | Wisconsin |
Profile Details
| NPI number | 1841301066 |
|---|---|
| LBN Legal business name | Bolton, Mary C |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 11th, 2009 - about 16 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 | 1841301066 | NPPES |
| Wisconsin | MEDICAID | 39144700 |
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