Bosley, Carl Eugene
Bosley, Carl Eugene is an sole proprietor health care provider with primary practice located at 2503 Lucy Lee Pkwy , Poplar Bluff MO 63901-2444. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Bosley, Carl Eugene can be contacted via phone (573) 785-5544.Contact Information
Primary practice address
2503 Lucy Lee Pkwy
Poplar Bluff MO 63901-2444
Phone: (573) 785-5544
Fax: (573) 785-4672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | R8584 | Missouri |
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | R8584 | Missouri |
Profile Details
| NPI number | 1942312921 |
|---|---|
| LBN Legal business name | Bosley, Carl Eugene |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 14th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942312921 | NPPES |
| Missouri | MEDICAID | 246988901 |
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