Bosworth, Abha M
Bosworth, Abha M is an individual health care provider with primary practice located at 8860 Center Dr Suite 330, La Mesa CA 91942-3068. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bosworth, Abha M can be contacted via phone (619) 460-4055.Contact Information
Primary practice address
8860 Center Dr Suite 330
La Mesa CA 91942-3068
Phone: (619) 460-4055
Fax: (619) 460-5148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA16657 | California |
Profile Details
| NPI number | 1629067053 |
|---|---|
| LBN Legal business name | Bosworth, Abha M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Sep 24th, 2013 - about 12 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 | 1629067053 | NPPES |
| California | Other | 1629067053 | MEDICARE NPI |
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