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
Fax: (318) 688-8861
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619960119 NPPES
Louisiana Other 1353523 LSU MEDICAID
Louisiana MEDICAID 1799611 LSU MEDICAID

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