Bosso, Daniel Geoffrey
Bosso, Daniel Geoffrey is an individual health care provider with primary practice located at 597 S Enota Dr Ne , Gainesville GA 30501-2545. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bosso, Daniel Geoffrey can be contacted via phone (770) 219-8102.Contact Information
Primary practice address
597 S Enota Dr Ne
Gainesville GA 30501-2545
Phone: (770) 219-8102
Fax: (770) 219-7778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 36654 | Missouri |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 066761 | Georgia |
Profile Details
| NPI number | 1699815225 |
|---|---|
| LBN Legal business name | Bosso, Daniel Geoffrey |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Feb 1st, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699815225 | NPPES |
| Missouri | Other | 98641 | AR BLUE SHIELD # |
| Missouri | MEDICAID | 247970015 | AR BLUE SHIELD # |
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