Bousum, John Michael
Bousum, John Michael is an sole proprietor health care provider with primary practice located at 101 S Moore Ave , Claremore OK 74017-5047. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bousum, John Michael can be contacted via phone (918) 342-6648.Contact Information
Primary practice address
101 S Moore Ave
Claremore OK 74017-5047
Phone: (918) 342-6648
Fax: (918) 342-6330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 14372 | Oklahoma |
Profile Details
| NPI number | 1134371370 |
|---|---|
| LBN Legal business name | Bousum, John Michael |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2008 |
| Last updated | Oct 21st, 2008 - about 17 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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