Bosch, Jamie D.

Bosch, Jamie D. is an individual health care provider with primary practice located at 1200 56Th St Sw , Wyoming MI 49509-9704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bosch, Jamie D. can be contacted via phone (616) 243-5707.

Contact Information

Primary practice address
1200 56Th St Sw Wyoming MI 49509-9704
Phone: (616) 243-5707
Fax: (616) 243-1170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301070047 Michigan

Profile Details

NPI number 1255300968
LBN Legal business name Bosch, Jamie D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Dec 20th, 2007 - about 17 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 1255300968 NPPES
Michigan MEDICAID 4738256
Michigan MEDICAID 4236290
Michigan Other 11272379

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