Bouso, Bashar

Bouso, Bashar is an sole proprietor health care provider with primary practice located at 202 Walnut St , Lawrenceburg IN 47025. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bouso, Bashar can be contacted via phone (812) 539-2142.

Contact Information

Primary practice address
202 Walnut St Lawrenceburg IN 47025
Fax: (812) 539-3920
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01042855A Indiana

Profile Details

NPI number 1609883727
LBN Legal business name Bouso, Bashar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Sep 6th, 2018 - about 7 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 1609883727 NPPES
Indiana MEDICAID 100464610A

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