Bosshardt, Thomas Lee

Bosshardt, Thomas Lee is an individual health care provider with primary practice located at 1325 E Church St Ste 202 , Santa Maria CA 93454-5915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bosshardt, Thomas Lee can be contacted via phone (805) 346-3456.

Contact Information

Primary practice address
1325 E Church St Ste 202 Santa Maria CA 93454-5915
Phone: (805) 346-3456
Fax: (805) 346-3454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G78405 California

Profile Details

NPI number 1104958156
LBN Legal business name Bosshardt, Thomas Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Dec 20th, 2022 - about 3 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 1104958156 NPPES
California MEDICAID 00G784050

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