Bolton, Tracy A
Bolton, Tracy A is an individual health care provider with primary practice located at 47 New Scotland Ave , Albany NY 12208-3412. 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, Tracy A can be contacted via phone (518) 262-5076.Contact Information
Primary practice address
47 New Scotland Ave
Albany NY 12208-3412
Phone: (518) 262-5076
Fax: (518) 262-5082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 430140-1 | New York |
Profile Details
| NPI number | 1336138874 |
|---|---|
| LBN Legal business name | Bolton, Tracy A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336138874 | NPPES |
| New York | MEDICAID | 02208491 |
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