Search › Michigan › 101YA0400X
Chad Bousamra, M.A
NPI 1164694030 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1105 E Eighth St
Traverse City, MI 49686 - Phone
- (231) 935-6787
- Fax
- (231) 935-6920
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan