Boss, Peter S.

Boss, Peter S. is an individual health care provider with primary practice located at 41870 Garstin Drive , Big Bear Lake CA 92315-1649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Boss, Peter S. can be contacted via phone (909) 878-8201.

Contact Information

Primary practice address
41870 Garstin Drive Big Bear Lake CA 92315-1649
Phone: (909) 878-8201
Fax: (909) 878-8286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G37988 California

Profile Details

NPI number 1780637173
LBN Legal business name Boss, Peter S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 9th, 2007 - about 18 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 1780637173 NPPES
California MEDICAID 00G379880
California Other 050618CA47313
California Other 00G379880

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