Bousman, Tina M

Bousman, Tina M is an individual health care provider with primary practice located at 4400 W 95Th St Suite 306, Oak Lawn IL 60453-2654. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bousman, Tina M can be contacted via phone (708) 346-5562.

Contact Information

Primary practice address
4400 W 95Th St Suite 306 Oak Lawn IL 60453-2654
Phone: (708) 346-5562
Fax: (708) 346-2059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085-002077 Illinois

Profile Details

NPI number 1598751901
LBN Legal business name Bousman, Tina M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated May 17th, 2010 - about 16 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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