Bose, Susan M

Bose, Susan M is an individual health care provider with primary practice located at 3321 Colorado Blvd , Denton TX 76210-6817. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bose, Susan M can be contacted via phone (940) 382-7321.

Contact Information

Primary practice address
3321 Colorado Blvd Denton TX 76210-6817
Phone: (940) 382-7321
Fax: (940) 382-5453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 695571 Texas

Profile Details

NPI number 1922070200
LBN Legal business name Bose, Susan M
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jan 30th, 2012 - about 14 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 1922070200 NPPES
Texas MEDICAID 163223403
Texas Other 8Y1394

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