Provider Demographics
NPI:1740392059
Name:BOSS, JULIE A (DO)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:A
Last Name:BOSS
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Gender:F
Credentials:DO
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Mailing Address - Street 1:650 LINDEN ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-1880
Mailing Address - Country:US
Mailing Address - Phone:231-796-0010
Mailing Address - Fax:231-796-2496
Practice Address - Street 1:650 LINDEN ST
Practice Address - Street 2:SUITE 5
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-1880
Practice Address - Country:US
Practice Address - Phone:231-796-0010
Practice Address - Fax:231-796-2496
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-08-03
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Provider Licenses
StateLicense IDTaxonomies
MI5101013778207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI383209247OtherPRIORITY HEALTH
MI0E41065OtherBLUE CROSS BLUE SHIELD GROUP
MI180045632OtherRAILROAD MEDICARE-IND
MIJB013778OtherBLUE CARE NETWORK
MICG0293OtherMEDICARE RAILROAD GROUP
MI1280290002OtherMEDICARE NSC - HOWARD CITY
MI1740392059OtherCOMMERCIAL INSURANCE
MI1855418834OtherBLUE CROSS BLUE SHIELD INDIVIDUAL
MI1280290001OtherADMINISTAR (DMERC)
MI383209247OtherPRIORITY HEALTH
MI1855418834OtherBLUE CROSS BLUE SHIELD INDIVIDUAL
MI1740392059OtherCOMMERCIAL INSURANCE