Bosworth, Michael C
Bosworth, Michael C is an individual health care provider with primary practice located at 1 Washington St Ste 401 , Wellesley Hills MA 02481-1737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bosworth, Michael C can be contacted via phone (814) 163-5007.Contact Information
Primary practice address
1 Washington St Ste 401
Wellesley Hills MA 02481-1737
Phone: (814) 163-5007
Fax: (781) 416-3505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 263766 | Massachusetts |
Profile Details
| NPI number | 1245657444 |
|---|---|
| LBN Legal business name | Bosworth, Michael C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2014 |
| Last updated | Apr 8th, 2019 - about 5 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 | 1245657444 | NPPES |
| Massachusetts | MEDICAID | 110106301A |
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