Bosio, Bruner Benedict

Bosio, Bruner Benedict is an individual health care provider with primary practice located at 4507 Hospital St , Pascagoula MS 39581-5336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Bosio, Bruner Benedict can be contacted via phone (228) 769-1940.

Contact Information

Primary practice address
4507 Hospital St Pascagoula MS 39581-5336
Fax: (228) 769-9231
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 07499 Mississippi
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 03499R Louisiana

Profile Details

NPI number 1245206895
LBN Legal business name Bosio, Bruner Benedict
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jun 9th, 2011 - about 14 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 1245206895 NPPES
Mississippi MEDICAID 09014392
Mississippi MEDICAID 00015730

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