Bosarge, Matthew
Bosarge, Matthew is an individual health care provider with primary practice located at 2819 Denny Ave , Pascagoula MS 39581-5301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bosarge, Matthew can be contacted via phone (228) 762-3466.Contact Information
Primary practice address
2819 Denny Ave
Pascagoula MS 39581-5301
Phone: (228) 762-3466
Fax: (228) 762-6349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27716 | Mississippi |
Profile Details
| NPI number | 1336674803 |
|---|---|
| LBN Legal business name | Bosarge, Matthew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2017 |
| Last updated | May 2nd, 2022 - about 3 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 | 1336674803 | NPPES |
| Mississippi | MEDICAID | 00371202 |
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