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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1750339743 NPPES
Other 5480579 AETNA
Other B0480002 AETNA
Other 253316 AETNA

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