Provider Demographics
NPI:1932173887
Name:BOSLER, JAMES WILLIAM III (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILLIAM
Last Name:BOSLER
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:9517 US HIGHWAY 42
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-9237
Mailing Address - Country:US
Mailing Address - Phone:502-587-0521
Mailing Address - Fax:502-587-3889
Practice Address - Street 1:9517 US HIGHWAY 42
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-9237
Practice Address - Country:US
Practice Address - Phone:502-587-0521
Practice Address - Fax:502-587-3889
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2021-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY27303207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1932173887OtherNPI
KY64273030Medicaid
KY110082139Medicare PIN
KY1932173887OtherNPI
KYF36274Medicare UPIN
KYCA5672Medicare PIN
KY64273030Medicaid