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Contact Information

CHARLES L BOULTON, DC
245 BROADWAY
LA CENTER, KY42056
 Phone: 270-665-5568
 Fax: 270-665-5568
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CHARLES L BOULTON · (Male)

NPI Number 1801163522
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 11/23/2011
Last updated 11/23/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 3628 R
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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