Bosma, Jennnifer A

Bosma, Jennnifer A is an sole proprietor health care provider with primary practice located at 9983 Perry Hwy , Wexford PA 15090-9297. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bosma, Jennnifer A can be contacted via phone (724) 933-8363.

Contact Information

Primary practice address
9983 Perry Hwy Wexford PA 15090-9297
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 14169 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW016617 Pennsylvania

Profile Details

NPI number 1982727582
LBN Legal business name Bosma, Jennnifer A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Jan 21st, 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 1982727582 NPPES
Texas Other 00S45N BLUE CROSS BLUE SHIELD
Texas Other 002156853 BLUE CROSS BLUE SHIELD
Texas MEDICAID SW00S45N2 BLUE CROSS BLUE SHIELD

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