Leslie Roy Bolton in Virginia Beach - Independent Duty Corpsman
Leslie Roy Bolton - NPI 1316146731
Leslie Roy Bolton is a Independent Duty Corpsman in Virginia Beach, Virginia. Leslie Roy Bolton practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Leslie Roy Bolton is 1316146731. The last update date is 2007-07-16.
Leslie Roy Bolton's current location address is 1636 Regulus Ave, Virginia Beach, Virginia. You can contact this provider via phone number 7574922026. The mailing address for Leslie Roy Bolton is 1636 Regulus Ave, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Roy Bolton |
|---|---|
| Address | 1636 Regulus Ave, Virginia Beach, Virginia |
| Phone Number | 7574922026 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1316146731 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 1636 Regulus Ave |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234612200 |
| Phone Number | 7574922026 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
|
Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| INDEPENDENT DUT | VA | MILITARY |
Post Comment/ Review Below
What is the Leslie Roy Bolton's unique identification number?
The Leslie Roy Bolton has been assigned the NPI (National Provider Identifier) Number 1316146731 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Leslie Roy Bolton?
The Leslie Roy Bolton is situated at 1636 Regulus Ave, in the city of Virginia Beach, state of VA, with the zip code 234612200.
What is Leslie Roy Bolton's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Leslie Roy Bolton is Independent Duty Corpsman, and the taxonomy classification code that categorizes this area of expertise is 1710I1002X.
On what date did the Leslie Roy Bolton receive its 1316146731 assignment from the Centers for Medicare & Medicaid Services?
The Leslie Roy Bolton was assigned its 1316146731 by the Centers for Medicare & Medicaid Services on 2007-07-16.
As of what date were the details pertaining to Leslie Roy Bolton last refreshed?
The information related to the Leslie Roy Bolton, including its address, specialty, and other relevant details, was last updated on 2007-07-16.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC