Nicholas A Bosso
Student in an Organized Health Care Education/Training Program in Mishawaka, IN. Individual provider (NPI-1).
NPI number1578024758
StatusActive
Last updated in NPPESMar 28, 2019
Details
- NPI
- 1578024758
- Entity type
- Individual (NPI-1)
- Name
- Mr. Nicholas A Bosso
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2019
- Last updated
- Mar 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
611 E Douglas Rd Ste 407Mishawaka, IN 46545-1468
Phone 585-402-0006
Mailing address
985 Furman RdFairport, NY 14450-9189
Phone 585-402-0006
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All 58 Student in an Organized Health Care Education/Training Program providers in Mishawaka · All 1,883 providers in Mishawaka
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