Bolton, Michael Todd

Bolton, Michael Todd is an individual health care provider with primary practice located at 8200 Constantin Blvd Fl 4 , Baton Rouge LA 70809-3481. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Bolton, Michael Todd can be contacted via phone (225) 765-5500.

Contact Information

Primary practice address
8200 Constantin Blvd Fl 4 Baton Rouge LA 70809-3481
Phone: (225) 765-5500
Fax: (225) 765-1202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X MD.200870 Louisiana

Profile Details

NPI number 1487864708
LBN Legal business name Bolton, Michael Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jan 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487864708 NPPES
Louisiana MEDICAID 1071871
Louisiana MEDICAID 04953094

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