Boswell, John I

Boswell, John I is an sole proprietor health care provider with primary practice located at 1315 W College Ave Suite 303, State College PA 16801-2776. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Boswell, John I can be contacted via phone (814) 861-3300.

Contact Information

Primary practice address
1315 W College Ave Suite 303 State College PA 16801-2776
Phone: (814) 861-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 035090-E Pennsylvania

Profile Details

NPI number 1720085228
LBN Legal business name Boswell, John I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2005
Last updated Jul 9th, 2007 - about 19 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 1720085228 NPPES
Pennsylvania MEDICAID 0010576160010

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