Bosenberg, Carola E

Bosenberg, Carola E is an sole proprietor health care provider with primary practice located at 1611 116Th Ave Ne Suite 218, Bellevue WA 98004-3045. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Bosenberg, Carola E can be contacted via phone (425) 454-3100.

Contact Information

Primary practice address
1611 116Th Ave Ne Suite 218 Bellevue WA 98004-3045
Fax: (425) 454-3101
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 26274 Washington

Profile Details

NPI number 1871648204
LBN Legal business name Bosenberg, Carola E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
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 1871648204 NPPES
Washington Other 202124 VALUE OPTIONS
Washington Other 00547255 VALUE OPTIONS
Washington Other 1610BO VALUE OPTIONS

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