Bosch, David

Bosch, David is an individual health care provider with primary practice located at 920 Doug White Dr Ste 510 , Myrtle Beach SC 29572-4120. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bosch, David can be contacted via phone (843) 497-7772.

Contact Information

Primary practice address
920 Doug White Dr Ste 510 Myrtle Beach SC 29572-4120
Phone: (843) 497-7772
Fax: (843) 848-7530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2243 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2020004735 Missouri

Profile Details

NPI number 1801815550
LBN Legal business name Bosch, David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Nov 8th, 2021 - about 4 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 1801815550 NPPES
South Carolina MEDICAID 2062PA

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