Bosarge, Patrick L

Bosarge, Patrick L is an individual health care provider with primary practice located at 1711 N Mckenzie St Ste 201 , Foley AL 36535-2282. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bosarge, Patrick L can be contacted via phone (251) 952-6597.

Contact Information

Primary practice address
1711 N Mckenzie St Ste 201 Foley AL 36535-2282
Phone: (251) 952-6597
Fax: (251) 424-1621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 46978 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 24252 Alabama

Profile Details

NPI number 1912982141
LBN Legal business name Bosarge, Patrick L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Dec 8th, 2022 - about 4 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 1912982141 NPPES
Tennessee MEDICAID 1522312

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