Bostic, Donald Mark

Bostic, Donald Mark is an individual health care provider with primary practice located at 25 W Main St , Austin IN 47102-1303. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bostic, Donald Mark can be contacted via phone (812) 794-8100.

Contact Information

Primary practice address
25 W Main St Austin IN 47102-1303
Phone: (812) 794-8100
Fax: (812) 794-8200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10000954A Indiana

Profile Details

NPI number 1437347929
LBN Legal business name Bostic, Donald Mark
Credentials PS-S
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Mar 25th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437347929 NPPES
Indiana MEDICAID 200490500A

Popular Providers