Greg H Bolton is a Medical in Grand Rapids, Michigan. Greg H Bolton practices all healthcare services and medical treatments related to Medical. The NPI Number for Greg H Bolton is 1255448361. The last update date is 2023-07-28.
Greg H Bolton's current location address is 4100 Embassy Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169751845. The mailing address for Greg H Bolton is 4100 Embassy Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Greg H Bolton |
|---|---|
| Address | 4100 Embassy Dr Se, Grand Rapids, Michigan |
| Phone Number | 6169751845 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1255448361 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2023-07-28 |
Provider Mailing Address Detail
| Address | 4100 Embassy Dr Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495462416 |
| Phone Number | 6169751845 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | A10512 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A10512 | LA | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Greg H Bolton by the Centers for Medicare & Medicaid Services?
The Greg H Bolton has been issued the NPI (National Provider Identifier) 1255448361. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Greg H Bolton is located?
The Greg H Bolton is situated at the following address: 4100 Embassy Dr Se, Grand Rapids, MI, 495462416.
Could you kindly provide the complete physical address where Greg H Bolton's facilities are geographically located?
The facilities of Greg H Bolton are physically situated at the following location: 4100 Embassy Dr Se, Grand Rapids, MI, 495462416.
What is Greg H Bolton's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Greg H Bolton's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
When was the information related to Greg H Bolton most recently updated or refreshed?
The details pertaining to the Greg H Bolton, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-07-28.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH