Ten Bosch, John Roderick

Ten Bosch, John Roderick is an individual health care provider with primary practice located at 5755 Cottle Rd Bldg 6 , San Jose CA 95123-3640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cytogenetic, Allopathic & Osteopathic Physicians / Clinical Molecular Genetics. Allopathic & Osteopathic Physicians / Clinical Molecular Genetics is his primary health care specialty. Ten Bosch, John Roderick can be contacted via phone (408) 972-6752.

Contact Information

Primary practice address
5755 Cottle Rd Bldg 6 San Jose CA 95123-3640
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cytogenetic 207SC0300X MTO653 California
Allopathic & Osteopathic Physicians / Clinical Molecular Genetics 207SG0203X DRN64 California

Profile Details

NPI number 1609211390
LBN Legal business name Ten Bosch, John Roderick
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2013
Last updated May 8th, 2013 - about 12 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 1609211390 NPPES
California Other DRN64 CALIFORNIA DEPARTMENT OF PUBLIC HEALTH - LAB FIELD SERVICES
California Other 2009152 CALIFORNIA DEPARTMENT OF PUBLIC HEALTH - LAB FIELD SERVICES
California Other MTO653 CALIFORNIA DEPARTMENT OF PUBLIC HEALTH - LAB FIELD SERVICES

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