Burch, Lisa Bosarge
Burch, Lisa Bosarge is an individual health care provider with primary practice located at 101 Memorial Hospital Dr Suite 200, Mobile AL 36608-1786. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Burch, Lisa Bosarge can be contacted via phone (251) 414-5900.Contact Information
Primary practice address
101 Memorial Hospital Dr Suite 200
Mobile AL 36608-1786
Phone: (251) 414-5900
Fax: (251) 281-1265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 00012790 | Alabama |
Profile Details
| NPI number | 1932107943 |
|---|---|
| LBN Legal business name | Burch, Lisa Bosarge |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | May 18th, 2022 - about 4 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 | 1932107943 | NPPES |
| Alabama | Other | 051527588 | BCBS |
| Alabama | Other | 009994405 | BCBS |
| Alabama | Other | 0401273 | BCBS |
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