Bouwsma, Otis Jacob
Bouwsma, Otis Jacob is an sole proprietor health care provider with primary practice located at 4430 E 14Th St Unit C , Brownsville TX 78521-3364. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Bouwsma, Otis Jacob can be contacted via phone (956) 548-0222.Contact Information
Primary practice address
4430 E 14Th St Unit C
Brownsville TX 78521-3364
Phone: (956) 548-0222
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 18445 | Texas |
Dental Providers / Dentist | 122300000X | 18445 | Texas |
Profile Details
NPI number | 1679661441 |
---|---|
LBN Legal business name | Bouwsma, Otis Jacob |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 10th, 2006 |
Last updated | Jun 4th, 2014 - about 10 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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