Boswell, Brian Carlos

Boswell, Brian Carlos is an individual health care provider with primary practice located at 1704 Esplanade , Chico CA 95926-3315. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Boswell, Brian Carlos can be contacted via phone (530) 891-1177.

Contact Information

Primary practice address
1704 Esplanade Chico CA 95926-3315
Fax: (530) 891-0452
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G39371 California

Profile Details

NPI number 1962444117
LBN Legal business name Boswell, Brian Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 9th, 2007 - about 17 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 1962444117 NPPES
California MEDICAID 00G393710

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