Bosbous, Mark Walter

Bosbous, Mark Walter is an individual health care provider with primary practice located at 9200 W Wisconsin Avenue Plastic Surgery, Milwaukee WI 53226-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Bosbous, Mark Walter can be contacted via phone (414) 805-3666.

Contact Information

Primary practice address
9200 W Wisconsin Avenue Plastic Surgery Milwaukee WI 53226-3522
Phone: (414) 805-3666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 49468-020 Wisconsin

Profile Details

NPI number 1033203906
LBN Legal business name Bosbous, Mark Walter
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Nov 27th, 2019 - 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 1033203906 NPPES
Wisconsin MEDICAID 1033203906

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