Boushra, Nader

Boushra, Nader is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Boushra, Nader can be contacted via phone (570) 888-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD423454 Pennsylvania

Profile Details

NPI number 1568451896
LBN Legal business name Boushra, Nader
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Oct 19th, 2011 - about 14 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 1568451896 NPPES
New York MEDICAID 03155608

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