Kathy J Bosch, DC
Individual provider Active NPI Chiropractor · Sonora, CA
NPI 1508942657 · NPPES record last updated Feb 21, 2017
Key facts
- NPI
- 1508942657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC012363 (CA)
- Practice address
- 19515 Village Dr
Ste B
Sonora, CA 95370-9270 - Phone
- (209) 533-4330
- Fax
- (209) 532-5374
- NPI assigned
- Oct 31, 2006
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC012363 | CA | MD | Chiropractor |
| DC12363 | CA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC012363 | CA | Yes |
| Chiropractor | 111N00000X | DC12363 | CA |
Addresses
Primary practice location
19515 Village Dr
Ste B
Sonora, CA 95370-9270
Mailing address
19595 Village Dr
Ste B
Sonora, CA 95370
Phone (209) 533-4330
Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2017. 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.