Bosley, Joseph Houston
Bosley, Joseph Houston is an sole proprietor health care provider with primary practice located at 2533 Bert Kouns Industrial Loop #104, Shreveport LA 71118-3158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bosley, Joseph Houston can be contacted via phone (318) 688-8801.Contact Information
Primary practice address
2533 Bert Kouns Industrial Loop #104
Shreveport LA 71118-3158
Phone: (318) 688-8801
Fax: (318) 688-8861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 06657R | Louisiana |
Profile Details
| NPI number | 1619960119 |
|---|---|
| LBN Legal business name | Bosley, Joseph Houston |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Mar 17th, 2008 - about 16 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 | 1619960119 | NPPES |
| Louisiana | Other | 1353523 | LSU MEDICAID |
| Louisiana | MEDICAID | 1799611 | LSU MEDICAID |
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