Bolton, Michelina

Bolton, Michelina is an individual health care provider with primary practice located at 588 Broad St , Oneida NY 13421. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Bolton, Michelina can be contacted via phone (315) 363-9281.

Contact Information

Primary practice address
588 Broad St Oneida NY 13421
Fax: (315) 363-9286
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1215005178
LBN Legal business name Bolton, Michelina
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1215005178 NPPES
New York MEDICAID 04800002465

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