Boozer, James Warren

Boozer, James Warren is an individual health care provider with primary practice located at 1541 Florida Ave Ste 200, Modesto CA 95350-4429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Boozer, James Warren can be contacted via phone (209) 577-3388.

Contact Information

Primary practice address
1541 Florida Ave Ste 200 Modesto CA 95350-4429
Phone: (209) 577-3388
Fax: (209) 523-0764
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G55121 California

Profile Details

NPI number 1427046986
LBN Legal business name Boozer, James Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jan 17th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427046986 NPPES
California Other CD069A GROUP MEDICARE PTAN
California Other 110065867 GROUP MEDICARE PTAN
California Other ZZZ48224Z GROUP MEDICARE PTAN
California Other CD143Z GROUP MEDICARE PTAN

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