Boosz, Bryan John
Boosz, Bryan John is an sole proprietor health care provider with primary practice located at 2 Munger Rd , Newtown Square PA 19073-2314. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boosz, Bryan John can be contacted via phone (610) 356-1776.Contact Information
Primary practice address
2 Munger Rd
Newtown Square PA 19073-2314
Phone: (610) 356-1776
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS024037L | Pennsylvania |
Profile Details
| NPI number | 1093743387 |
|---|---|
| LBN Legal business name | Boosz, Bryan John |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093743387 | NPPES |
| Pennsylvania | Other | 174080 | UNITED CONCORDIA |
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