Bosaw, Tonya Ann
Bosaw, Tonya Ann is an individual health care provider with primary practice located at 6812 State Route 162 Ste 204 , Maryville IL 62062-8562. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bosaw, Tonya Ann can be contacted via phone (618) 391-5070.Contact Information
Primary practice address
6812 State Route 162 Ste 204
Maryville IL 62062-8562
Phone: (618) 391-5070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209021557 | Illinois |
Profile Details
| NPI number | 1821600693 |
|---|---|
| LBN Legal business name | Bosaw, Tonya Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2020 |
| Last updated | Aug 21st, 2020 - about 5 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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