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Mr. Nicholas A Bosso
Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana
NPI 1578024758

Nicholas A Bosso is a Student in an Organized Health Care Education/Training Program based in Fairport, IN. Nicholas A Bosso practices in Mishawaka, IN. The NPI Number for Nicholas A Bosso is 1578024758 and holds a License No. (Indiana).

The current practice location address for Nicholas A Bosso is 611 E Douglas Rd Ste 407, Mishawaka, IN and can be reached out via phone at 585-402-0006.

Location: 611 E Douglas Rd Ste 407, Mishawaka, IN, 14450-9189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578024758
Provider Name
Nicholas A Bosso
Credential
Provider Entity Type
Individual
Gender
Male
Address
611 E Douglas Rd Ste 407, Mishawaka, IN, 14450-9189
Phone Number
585-402-0006
Fax Number
Provider Enumeration Date
03/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
611 E Douglas Rd Ste 407
City
Mishawaka
State
Indiana
Zip
46545-1468
Phone Number
585-402-0006
Fax Number
person
Provider Business Mailing Address Details
Address
611 E Douglas Rd Ste 407
City
Mishawaka
State
Indiana
Zip
46545-1468
Phone Number
585-402-0006
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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