Phillip Bostian
Adult Reconstructive Orthopaedic Surgeon
1801 N Senate Blvd Ste 535
Indianapolis
, Indiana 46202-1204
Phillip Bostian
Adult Reconstructive Orthopaedic Surgeon
1801 N Senate Blvd Ste 535
Indianapolis
, Indiana 46202-1204
(704) 965-0164
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Phillip Bostian
- 1801 N Senate Blvd Ste 535
- Indianapolis, IN
- Zip : 46202-1204
- Phone : (704) 965-0164
Second Address
- Phillip Bostian
- 1801 N Senate Blvd Ste 535
- Indianapolis, IN
- Zip : 46202-1204
- Phone : (704) 965-0164
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 01084243B | IN |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | CV2002622 | IN |
National Provider Identifier
| NPI | 1043625361 |
|---|---|
| Provider Name | Phillip Bostian |
| First Address | Indianapolis, IN 46202-1204 |
| Second Address | Indianapolis, IN 46202-1204 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2014 |
| Last Update Date | 13/07/2020 |
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.