Bosshard, Lisa S

Bosshard, Lisa S is an individual health care provider with primary practice located at 611 Veterans Ave Ste 106 , West Bend WI 53090-2545. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bosshard, Lisa S can be contacted via phone (262) 353-4460.

Contact Information

Primary practice address
611 Veterans Ave Ste 106 West Bend WI 53090-2545
Phone: (262) 353-4460
Fax: (262) 353-4461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 41313 Wisconsin

Profile Details

NPI number 1912916891
LBN Legal business name Bosshard, Lisa S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Mar 7th, 2023 - about 3 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 1912916891 NPPES
Wisconsin MEDICAID 1912916891

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