Bostwick, Brian
Bostwick, Brian is an individual health care provider with primary practice located at 301 N 8Th St Pav 4A, Springfield IL 62702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Bostwick, Brian can be contacted via phone (217) 545-8000.Contact Information
Primary practice address
301 N 8Th St Pav 4A
Springfield IL 62702
Phone: (217) 545-8000
Fax: (217) 545-2303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036106503 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036106503 | Illinois |
Profile Details
| NPI number | 1891768636 |
|---|---|
| LBN Legal business name | Bostwick, Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Oct 20th, 2020 - 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 | 1891768636 | NPPES |
| Illinois | Other | 07215036 | BCBS |
| Illinois | Other | IL0104 | BCBS |
| Illinois | MEDICAID | 036106503 | BCBS |
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