Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Thomas Bose

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144080029

Jeremy Thomas Bose is a Student in an Organized Health Care Education/Training Program in Norfolk, Virginia. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

601 Childrens Ln
Norfolk, VA 23507-1910
Phone: (757) 668-7249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1144080029
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address5823 Cross Point Ct, Waxhaw, NC 28173-7103

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