Bolton, Sharon P

Bolton, Sharon P is an individual health care provider with primary practice located at 1701 Renaissance Blvd Suite 110, Edmond OK 73013-3086. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bolton, Sharon P can be contacted via phone (405) 844-4978.

Contact Information

Primary practice address
1701 Renaissance Blvd Suite 110 Edmond OK 73013-3086
Phone: (405) 844-4978
Fax: (405) 844-0562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1355 Oklahoma

Profile Details

NPI number 1174558738
LBN Legal business name Bolton, Sharon P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated May 11th, 2017 - about 8 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 1174558738 NPPES
Oklahoma Other OK700080 MEDICARE TPAN

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