Bohusz, Stephen

Bohusz, Stephen is an individual health care provider with primary practice located at 600 E Dixie Ave , Leesburg FL 34748-5925. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bohusz, Stephen can be contacted via phone (352) 867-8898.

Contact Information

Primary practice address
600 E Dixie Ave Leesburg FL 34748-5925
Phone: (352) 867-8898
Fax: (352) 732-6282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9225862 Florida

Profile Details

NPI number 1457360976
LBN Legal business name Bohusz, Stephen
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 8th, 2007 - about 18 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 1457360976 NPPES
Florida Other G3783 BLUE CROSS BLUE SHIELD
Florida Other P00299995 BLUE CROSS BLUE SHIELD
Florida MEDICAID 307103100 BLUE CROSS BLUE SHIELD

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