Bosscher, David Bruce

Bosscher, David Bruce is an individual health care provider with primary practice located at 336 S River Ave , Holland MI 49423-3326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bosscher, David Bruce can be contacted via phone (616) 394-3788.

Contact Information

Primary practice address
336 S River Ave Holland MI 49423-3326
Phone: (616) 394-3788
Fax: (616) 394-3796
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02533 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1238 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 510100847 Michigan

Profile Details

NPI number 1417950270
LBN Legal business name Bosscher, David Bruce
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Oct 1st, 2021 - about 5 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 1417950270 NPPES
Michigan Other 0850310164 BCBSM
Michigan MEDICAID 64025331 BCBSM
Michigan Other DB008747 BCBSM
Michigan Other P00443946 BCBSM
Michigan Other 115223241 BCBSM

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