Individual
LOIS J. BOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2605 JACKSON AVE, POINT PLEASANT, WV 25550-1615
(304) 675-4498
(304) 675-8182
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(304) 675-4498
(304) 675-8182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1302
WV
207Q00000X
Family Medicine Physician
35.005706
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006633
ANTHEM BCBS
—
01
—
000000185204
UNISON MEDICAID
OH
01
—
001714063
MOUNTAIN STATE BCBS
—
05
—
0053788000
—
WV
01
—
080048368
RR MEDICARE
—
01
—
0934921
MOLINA MEDICAID
OH
01
—
310917085160
CARESOURCE MEDICAID
OH
Enumeration date
05/20/2006
Last updated
11/25/2020
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