Bosarge, Kenneth L.
Bosarge, Kenneth L. is an sole proprietor health care provider with primary practice located at 7302D Highway 613 , Moss Point MS 39563-9312. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bosarge, Kenneth L. can be contacted via phone (228) 475-6437.Contact Information
Primary practice address
7302D Highway 613
Moss Point MS 39563-9312
Phone: (228) 475-6437
Fax: (228) 474-1325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 867 | Mississippi |
Profile Details
| NPI number | 1568557296 |
|---|---|
| LBN Legal business name | Bosarge, Kenneth L. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568557296 | NPPES |
| Mississippi | Other | 5598580 | AETNA |
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