Bissett, Boe L

Bissett, Boe L is an individual health care provider with primary practice located at 11320 S M 43 Hwy , Delton MI 49046-9415. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bissett, Boe L can be contacted via phone (269) 623-5531.

Contact Information

Primary practice address
11320 S M 43 Hwy Delton MI 49046-9415
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601006255 Michigan

Profile Details

NPI number 1922379544
LBN Legal business name Bissett, Boe L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2012
Last updated Jan 13th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922379544 NPPES
Michigan Other 5601006255 STATE OF MICHIGAN LICENSE

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