Bolton, Susan G.

Bolton, Susan G. is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Bolton, Susan G. can be contacted via phone (617) 421-5984.

Contact Information

Primary practice address
133 Brookline Ave Boston MA 02215-3904
Phone: (617) 421-5984
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 372 Massachusetts

Profile Details

NPI number 1063482032
LBN Legal business name Bolton, Susan G.
Credentials CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063482032 NPPES
Massachusetts Other AD0164 BLUE CROSS
Massachusetts Other P00202945 BLUE CROSS
Massachusetts Other PJ185 BLUE CROSS
Massachusetts Other 0014864 BLUE CROSS
Massachusetts MEDICAID 5103045 BLUE CROSS
Massachusetts Other B501027 BLUE CROSS

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