Bruce E Bosse Mdpc

LBN: Bruce E Bosse Mdpc
Bruce E Bosse Mdpc is an health care organization with primary practice located at 2500 Hospital Blvd Suite 440, Roswell GA 30076-4907. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bruce E Bosse Mdpc can be contacted via phone (770) 663-4649, or through Bosse, Bruce Eric via phone (770) 663-4649.

Contact Information

Primary practice address
2500 Hospital Blvd Suite 440 Roswell GA 30076-4907
Phone: (770) 663-4649
Fax: (770) 663-3930
Website:
Map and Directions
Authorized official contact:
Name: Bosse, Bruce Eric Doctor of Medicine (MD)
Phone: (770) 663-4649

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 034503 Georgia

Profile Details

NPI number 1255620159
LBN Legal business name Bruce E Bosse Mdpc
DBA Doing business as
Authorized official Bosse, Bruce Eric Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2011
Last updated Mar 31st, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255620159 NPPES
Georgia Other 13BDBWB MEDICARE PROVIDER NUMBER
Georgia MEDICAID 000465132B MEDICARE PROVIDER NUMBER

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