Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BARRY WARRIS BOLTON
Active Sole ProprietorMR. BARRY WARRIS BOLTON is a Community Health Worker healthcare provider located in BOGALUSA, Louisiana. NPI 1871942888 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · BOGALUSA, LA
Registration Details
- NPI Number
- 1871942888
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2016 (10.211167064943 yrs)
- Last Updated
- Jun 9, 2016
- License
-
03679828 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
712B LOUISIANA AVEBOGALUSA, LA, 70427Browse LA providers · Browse ZIP 70427
- Phone
- 9857504511
- Fax
- 9857321095
- Primary Specialty
-
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.