Bose, Raison Sujai
Bose, Raison Sujai is an individual health care provider with primary practice located at 2600 N Mayfair Rd Suite 240, Wauwatosa WI 53226-1309. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Bose, Raison Sujai can be contacted via phone (414) 258-1500.Contact Information
Primary practice address
2600 N Mayfair Rd Suite 240
Wauwatosa WI 53226-1309
Phone: (414) 258-1500
Fax: (414) 258-9353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 6750-015 | Wisconsin |
Profile Details
| NPI number | 1780815928 |
|---|---|
| LBN Legal business name | Bose, Raison Sujai |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2009 |
| Last updated | Apr 18th, 2012 - about 12 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 | 1780815928 | NPPES |
| Texas | Other | UTSA 887X | TEXAS STATE BOARD OF DENTAL EXAMINERS |
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