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

Joseph E Bousaba

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215370200

Joseph E Bousaba is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

701 Park Ave Hcmc Dentistry Residency Program
Minneapolis, MN 55415-1623
Phone: (612) 873-3000
Show map & directions

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 number1215370200
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2013
Last updated in NPPESApril 10, 2013
Mailing address701 Park Ave, Hcmc Dentistry Residency Program, Minneapolis, MN 55415-1623

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