Bruce Boissoneault I

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1829 Bauer Ave
Sandusky, OH 44870-5029

Phone

(419) 626-0200

Fax

(419) 626-0200

NPI assigned

Oct 3, 2016

Last updated

Oct 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1285183137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 BAUER AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705029",
            "telephone_number": "419-626-0200",
            "fax_number": "419-626-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 BAUER AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705029",
            "telephone_number": "419-626-0200",
            "fax_number": "419-626-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISSONEAULT",
        "first_name": "BRUCE",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A. Bodi, D.C.
• Joseph Edward Bodi, CDCA
• Michelle E Bodie, PAC
• Dena M Bogard, SLP
• Mary Kathryn Bohn
• Elizabeth Bollini, NTP
• Jennifer L Bolyard
• Stephanie Boos
• Ariel Lee Booth, LPN
• Joseph Andrew Borgelt, LICDC

• Home Health Aide in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.