John Scott Boswell
Dermatologist Procedural Dermatology
5701 N West Ave
Fresno
, California 93711-2366
John Scott Boswell
Dermatologist Procedural Dermatology
5701 N West Ave
Fresno
, California 93711-2366
(559) 439-3004
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About
Features
Specialties
- Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- John Scott Boswell
- 5701 N West Ave
- Fresno, CA
- Zip : 93711-2366
- Fax : (559) 439-3004
- Phone : (559) 439-3000
Second Address
- John Scott Boswell
- 5701 N West Ave
- Fresno, CA
- Zip : 93711-2366
- Fax : (559) 439-3004
- Phone : (559) 439-3000
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FAQs
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Is John Scott Boswell a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | A100542 | CA |
| N | 207NS0135X | Procedural Dermatology | A100542 | CA |
National Provider Identifier
| NPI | 1295936961 |
|---|---|
| Provider Name | John Scott Boswell |
| First Address | Fresno, CA 93711-2366 |
| Second Address | Fresno, CA 93711-2366 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2007 |
| Last Update Date | 19/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0A1005420 | BLUE SHIELD (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.