Bolton, Greg H

Bolton, Greg H is an individual health care provider with primary practice located at 2495 Shreveport Hwy , Pineville LA 71360-4044. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Bolton, Greg H can be contacted via phone (318) 473-0010.

Contact Information

Primary practice address
2495 Shreveport Hwy Pineville LA 71360-4044
Phone: (318) 473-0010
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.A10512.RX Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X A10512 Louisiana

Profile Details

NPI number 1255448361
LBN Legal business name Bolton, Greg H
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 28th, 2023 - 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 1255448361 NPPES
Louisiana Other A10512 STATE LICENSE NUMBER

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