Bosworth, John M
Bosworth, John M is an individual health care provider with primary practice located at 15204 Omega Dr Ste 310 , Rockville MD 20850-4816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bosworth, John M can be contacted via phone (240) 361-9000.Contact Information
Primary practice address
15204 Omega Dr Ste 310
Rockville MD 20850-4816
Phone: (240) 361-9000
Fax: (240) 361-9001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | D0038812 | Maryland |
Profile Details
| NPI number | 1750339743 |
|---|---|
| LBN Legal business name | Bosworth, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | May 5th, 2021 - about 3 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 | 1750339743 | NPPES |
| Other | 5480579 | AETNA | |
| Other | B0480002 | AETNA | |
| Other | 253316 | AETNA |
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