Bousamra, Chad Thomas
Bousamra, Chad Thomas is an sole proprietor health care provider with primary practice located at 1105 E Eighth St , Traverse City MI 49686-2936. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Bousamra, Chad Thomas can be contacted via phone (231) 935-6787.Contact Information
Primary practice address
1105 E Eighth St
Traverse City MI 49686-2936
Phone: (231) 935-6787
Fax: (231) 935-6920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 6401010758 | Michigan |
Profile Details
| NPI number | 1164694030 |
|---|---|
| LBN Legal business name | Bousamra, Chad Thomas |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2008 |
| Last updated | Mar 31st, 2008 - about 18 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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