Bosshardt, Richard T

Bosshardt, Richard T is an individual health care provider with primary practice located at 1879 Nightingale Ln A-2, Tavares FL 32778-4363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Bosshardt, Richard T can be contacted via phone (352) 742-0079.

Contact Information

Primary practice address
1879 Nightingale Ln A-2 Tavares FL 32778-4363
Phone: (352) 742-0079
Fax: (352) 742-0059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME49691 Florida

Profile Details

NPI number 1942235783
LBN Legal business name Bosshardt, Richard T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jun 18th, 2008 - about 16 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 1942235783 NPPES
Florida Other 08371 BLUE SHIELD
Florida MEDICAID 035625500 BLUE SHIELD

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