Bolton, Pamela Jewel

Bolton, Pamela Jewel is an individual health care provider with primary practice located at 3219 Clifton Ave Suite 105, Cincinnati OH 45220-3027. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Bolton, Pamela Jewel can be contacted via phone (513) 861-5555.

Contact Information

Primary practice address
3219 Clifton Ave Suite 105 Cincinnati OH 45220-3027
Phone: (513) 861-5555
Fax: (513) 861-6980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP-08040 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 39848 Kentucky

Profile Details

NPI number 1659378669
LBN Legal business name Bolton, Pamela Jewel
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jul 9th, 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 1659378669 NPPES
Kentucky MEDICAID 78904109
Kentucky MEDICAID 2535877

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