Bosco, Gail P

Bosco, Gail P is an individual health care provider with primary practice located at 2430 E Mason St , Green Bay WI 54302-3759. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bosco, Gail P can be contacted via phone (920) 406-9863.

Contact Information

Primary practice address
2430 E Mason St Green Bay WI 54302-3759
Phone: (920) 406-9863
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2092 Wisconsin

Profile Details

NPI number 1538205380
LBN Legal business name Bosco, Gail P
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Apr 9th, 2014 - about 12 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 1538205380 NPPES
Wisconsin MEDICAID 41935400
Wisconsin Other 2092

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