Bosco, Stephen John

Bosco, Stephen John is an individual health care provider with primary practice located at 1 Lake St Suite 101, New Britain CT 06052-1396. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bosco, Stephen John can be contacted via phone (860) 223-8107.

Contact Information

Primary practice address
1 Lake St Suite 101 New Britain CT 06052-1396
Fax: (860) 223-1086
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 006087 Connecticut

Profile Details

NPI number 1225040884
LBN Legal business name Bosco, Stephen John
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jul 8th, 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 1225040884 NPPES
Connecticut Other 020006087CT01 BS
Connecticut Other 07803 BS

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