Bolton, Pamela Jewel
Bolton, Pamela Jewel is an individual health care provider with primary practice located at 3219 Clifton Ave Suite 105, Cincinnati OH 45220-3027. 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, Pamela Jewel can be contacted via phone (513) 861-5555.Contact Information
Primary practice address
3219 Clifton Ave Suite 105
Cincinnati OH 45220-3027
Phone: (513) 861-5555
Fax: (513) 861-6980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | NP-08040 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 39848 | Kentucky |
Profile Details
| NPI number | 1659378669 |
|---|---|
| LBN Legal business name | Bolton, Pamela Jewel |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1659378669 | NPPES |
| Kentucky | MEDICAID | 78904109 | |
| Kentucky | MEDICAID | 2535877 |
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