Bosma, Jennifer Marie

Bosma, Jennifer Marie is an individual health care provider with primary practice located at 209 Cherry St , Milford CT 06460-3501. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bosma, Jennifer Marie can be contacted via phone (203) 874-5437.

Contact Information

Primary practice address
209 Cherry St Milford CT 06460-3501
Phone: (203) 874-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 003510 Connecticut

Profile Details

NPI number 1083886808
LBN Legal business name Bosma, Jennifer Marie
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2008
Last updated Apr 2nd, 2015 - about 11 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 1083886808 NPPES
Connecticut Other 11807985 CAQH
Connecticut Other 9668109 CAQH
Connecticut Other 660003510CT01 CAQH

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