Boschman, Cynthia Rose

Boschman, Cynthia Rose is an individual health care provider with primary practice located at 205 N East Ave , Jackson MI 49201-1753. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Boschman, Cynthia Rose can be contacted via phone (517) 788-4951.

Contact Information

Primary practice address
205 N East Ave Jackson MI 49201-1753
Phone: (517) 788-4951
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301074003 Michigan

Profile Details

NPI number 1891857736
LBN Legal business name Boschman, Cynthia Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891857736 NPPES
Michigan Other 4328893 MOLINA HEALTHCARE
Michigan MEDICAID 4328893 MOLINA HEALTHCARE
Michigan Other 4328893 MOLINA HEALTHCARE

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