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:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1710965116 | NPPES |
| Pennsylvania | MEDICAID | 1016695050001 | |
| Pennsylvania | MEDICAID | 173210901 | |
| Pennsylvania | Other | 103542NZ3 |
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