Bossano, Juan Manual

Bossano, Juan Manual is an individual health care provider with primary practice located at 2903 1St Ave , Lake Charles LA 70601-8809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Bossano, Juan Manual can be contacted via phone (337) 478-6480.

Contact Information

Primary practice address
2903 1St Ave Lake Charles LA 70601-8809
Phone: (337) 478-6480
Fax: (337) 474-9637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 10107R Louisiana

Profile Details

NPI number 1346231875
LBN Legal business name Bossano, Juan Manual
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 8th, 2007 - about 17 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 1346231875 NPPES
Louisiana MEDICAID 1976318

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