Bolton Smith, Jody Allison

Bolton Smith, Jody Allison is an individual health care provider with primary practice located at 1990 Connecticut Ave S , Sartell MN 56377-2554. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Bolton Smith, Jody Allison can be contacted via phone (320) 257-5595.

Contact Information

Primary practice address
1990 Connecticut Ave S Sartell MN 56377-2554
Phone: (320) 257-5595
Fax: (320) 257-5596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 46527 Minnesota

Profile Details

NPI number 1306846076
LBN Legal business name Bolton Smith, Jody Allison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Aug 11th, 2011 - about 13 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 1306846076 NPPES
Minnesota Other 2141654 ARAZ/ AMERICA'S PPO
Minnesota Other 16-03053 ARAZ/ AMERICA'S PPO
Minnesota Other 284L1BO ARAZ/ AMERICA'S PPO
Minnesota Other 411772562 ARAZ/ AMERICA'S PPO
Minnesota Other 965251040913 ARAZ/ AMERICA'S PPO
Minnesota Other 131470C561 ARAZ/ AMERICA'S PPO
Minnesota Other 411772562 ARAZ/ AMERICA'S PPO
Minnesota MEDICAID 492485100 ARAZ/ AMERICA'S PPO
Minnesota Other HP44741 ARAZ/ AMERICA'S PPO

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