Evelyn Bosman, MSW
Individual provider Active NPI Social Worker · Grand Haven, MI
NPI 1215109657 · NPPES record last updated Mar 26, 2008
Key facts
- NPI
- 1215109657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6801032838 (MI)
- Practice address
- 120 S Fifth St
Grand Haven, MI 49417 - Phone
- (616) 842-9198
- NPI assigned
- Mar 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801032838 | MI | Yes |
Addresses
Primary practice location
120 S Fifth St
Grand Haven, MI 49417
Mailing address
120 S Fifth St
Grand Haven, MI 49417
Phone (616) 842-9198
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8008976750 | Other | MI | BLUE CROSS PIN |
Other names
- Evelyn H Bosman
Other providers in Grand Haven, MI
- Cynthia Ann Bolling
- Shawn C Bonner
- Nicholas Michael Bontumasi
- Ashley Bookmyer
- Daniela Borecky
- Daniel Anthony Bowen
- Susan Bowers
- Nicole Bowyer
- Sheryl Lynn Boynton
- Jaclyn Bradley
All providers in Grand Haven, MI · Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.