Bosscher, Gerard Paul

Bosscher, Gerard Paul is an individual health care provider with primary practice located at 4353 Sawkaw, N.E. , Grand Rapids MI 49525. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bosscher, Gerard Paul can be contacted via phone (616) 363-9821.

Contact Information

Primary practice address
4353 Sawkaw, N.E. Grand Rapids MI 49525
Fax: (616) 365-9206
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 2901011010 Michigan

Profile Details

NPI number 1932365020
LBN Legal business name Bosscher, Gerard Paul
Credentials DDS, MS.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated Jul 29th, 2008 - 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 1932365020 NPPES
Michigan MEDICAID 2166835

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