Bousum, John Michael

Bousum, John Michael is an sole proprietor health care provider with primary practice located at 101 S Moore Ave , Claremore OK 74017-5047. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bousum, John Michael can be contacted via phone (918) 342-6648.

Contact Information

Primary practice address
101 S Moore Ave Claremore OK 74017-5047
Fax: (918) 342-6330
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 14372 Oklahoma

Profile Details

NPI number 1134371370
LBN Legal business name Bousum, John Michael
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2008
Last updated Oct 21st, 2008 - about 16 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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