Bosworth, Theresa Marie
Bosworth, Theresa Marie is an sole proprietor health care provider with primary practice located at 1425 Michigan Ne Suite A , Grand Rapids MI 49503. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Bosworth, Theresa Marie can be contacted via phone (616) 459-4514.Contact Information
Primary practice address
1425 Michigan Ne Suite A
Grand Rapids MI 49503
Phone: (616) 459-4514
Fax: (616) 459-5001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 1601000098 | Michigan |
Profile Details
| NPI number | 1932329729 |
|---|---|
| LBN Legal business name | Bosworth, Theresa Marie |
| Credentials | MA,CCC-A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Aug 19th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932329729 | NPPES |
| Michigan | Other | 640D126260 | BLUE SHIELD HEARING PROVI |
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