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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891768636 NPPES
Illinois Other 07215036 BCBS
Illinois Other IL0104 BCBS
Illinois MEDICAID 036106503 BCBS

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