Bosley, Laquitta Tyisha
Bosley, Laquitta Tyisha is an individual health care provider with primary practice located at 1 Heritage Dr Ste 100 , Southgate MI 48195-3047. She recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as her primary health care specialty. Bosley, Laquitta Tyisha can be contacted via phone (734) 767-2250.Contact Information
Primary practice address
1 Heritage Dr Ste 100
Southgate MI 48195-3047
Phone: (734) 767-2250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Technician/Technologist | 156F00000X |
Profile Details
| NPI number | 1730857228 |
|---|---|
| LBN Legal business name | Bosley, Laquitta Tyisha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2021 |
| Last updated | Aug 31st, 2021 - about 4 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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