Van Den Bosch, John T

Van Den Bosch, John T is an individual health care provider with primary practice located at 950B N Wyomissing Blvd 3Rd Floor, Wyomissing PA 19610-1783. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Van Den Bosch, John T can be contacted via phone (610) 898-1820.

Contact Information

Primary practice address
950B N Wyomissing Blvd 3Rd Floor Wyomissing PA 19610-1783
Fax: (610) 376-0164
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD014906E Pennsylvania

Profile Details

NPI number 1083678569
LBN Legal business name Van Den Bosch, John T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Aug 2nd, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083678569 NPPES
Pennsylvania MEDICAID 000645990

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