Bosha, Philip J.

Bosha, Philip J. is an individual health care provider with primary practice located at 1850 E Park Ave Suite 112, State College PA 16803-6706. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Bosha, Philip J. can be contacted via phone (814) 865-3566.

Contact Information

Primary practice address
1850 E Park Ave Suite 112 State College PA 16803-6706
Phone: (814) 865-3566
Fax: (814) 863-7803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X L9632 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD420020 Pennsylvania
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X MD420020 Pennsylvania

Profile Details

NPI number 1710965116
LBN Legal business name Bosha, Philip J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Mar 4th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710965116 NPPES
Pennsylvania MEDICAID 1016695050001
Pennsylvania MEDICAID 173210901
Pennsylvania Other 103542NZ3

Popular Providers