Bossert, Gerald

Bossert, Gerald is an individual health care provider with primary practice located at 126 E Main St Suite D, Payson AZ 85541-5488. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bossert, Gerald can be contacted via phone (928) 472-5260.

Contact Information

Primary practice address
126 E Main St Suite D Payson AZ 85541-5488
Phone: (928) 472-5260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1897 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1897 Arizona

Profile Details

NPI number 1700885308
LBN Legal business name Bossert, Gerald
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Sep 27th, 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 1700885308 NPPES
Arizona MEDICAID 347220

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