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
Phone: (860) 223-8107
Fax: (860) 223-1086
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225040884 | NPPES |
Connecticut | Other | 020006087CT01 | BS |
Connecticut | Other | 07803 | BS |
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