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
Phone: (425) 454-3100
Fax: (425) 454-3101
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1871648204 | NPPES |
| Washington | Other | 202124 | VALUE OPTIONS |
| Washington | Other | 00547255 | VALUE OPTIONS |
| Washington | Other | 1610BO | VALUE OPTIONS |
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