Bouwsma, Otis Jacob

Bouwsma, Otis Jacob is an sole proprietor health care provider with primary practice located at 4430 E 14Th St Unit C , Brownsville TX 78521-3364. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Bouwsma, Otis Jacob can be contacted via phone (956) 548-0222.

Contact Information

Primary practice address
4430 E 14Th St Unit C Brownsville TX 78521-3364
Phone: (956) 548-0222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 18445 Texas
Dental Providers / Dentist 122300000X 18445 Texas

Profile Details

NPI number 1679661441
LBN Legal business name Bouwsma, Otis Jacob
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Jun 4th, 2014 - about 12 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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