Bolton, Travis L

Bolton, Travis L is an individual health care provider with primary practice located at 2400 Unser Blvd Se , Rio Rancho NM 87124-4740. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Bolton, Travis L can be contacted via phone (505) 253-1187.

Contact Information

Primary practice address
2400 Unser Blvd Se Rio Rancho NM 87124-4740
Phone: (505) 253-1187
Fax: (505) 253-1199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2017-0672 New Mexico
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD2017-0672 New Mexico

Profile Details

NPI number 1932184181
LBN Legal business name Bolton, Travis L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jul 21st, 2022 - about 3 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 1932184181 NPPES
Florida MEDICAID 064450100

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