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Contact Information

MICHAEL T BOLTON, MD
8200 CONSTANTIN BLVD FL 4
BATON ROUGE, LA70809-3481
 Phone: 225-765-5500
 Fax: 225-765-1202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MICHAEL T BOLTON · (Male)

NPI Number 1487864708
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2007
Last updated 01/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • LA License # MD.200870
  • LA Medicaid 1071871
  • MS Medicaid 04953094
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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