Bosworth, Brenda

Bosworth, Brenda is an sole proprietor health care provider with primary practice located at 686 Two Mile Rd , Port Allegany PA 16743-5018. She recently has only one registered license in Dental Providers / Advanced Practice Dental Therapist, which is considered as her primary health care specialty. Bosworth, Brenda can be contacted via phone (814) 642-2732.

Contact Information

Primary practice address
686 Two Mile Rd Port Allegany PA 16743-5018
Phone: (814) 642-2732
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Advanced Practice Dental Therapist 125K00000X PHDH000015 Pennsylvania

Profile Details

NPI number 1386014140
LBN Legal business name Bosworth, Brenda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2015
Last updated Oct 5th, 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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