Bolton, Leslie Roy

Bolton, Leslie Roy is an individual health care provider with primary practice located at 1636 Regulus Ave , Virginia Beach VA 23461-2200. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Bolton, Leslie Roy can be contacted via phone (757) 492-2026.

Contact Information

Primary practice address
1636 Regulus Ave Virginia Beach VA 23461-2200
Phone: (757) 492-2026
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1316146731
LBN Legal business name Bolton, Leslie Roy
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Jul 16th, 2007 - about 18 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 1316146731 NPPES
Virginia Other INDEPENDENT DUTY COR MILITARY

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