Thomas, Lizy Bose

Thomas, Lizy Bose is an individual health care provider with primary practice located at 14999 Health Center Dr Suite 201, Bowie MD 20716-1074. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Thomas, Lizy Bose can be contacted via phone (301) 262-8188.

Contact Information

Primary practice address
14999 Health Center Dr Suite 201 Bowie MD 20716-1074
Fax: (301) 464-8233
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD31662 District of Columbia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0055376 Maryland

Profile Details

NPI number 1104902600
LBN Legal business name Thomas, Lizy Bose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Mar 17th, 2017 - 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 1104902600 NPPES
District of Columbia MEDICAID 026714900

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