Boozer, R Bryan
Boozer, R Bryan is an sole proprietor health care provider with primary practice located at 1000 2Nd Ave Sw , Cullman AL 35055-4934. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Boozer, R Bryan can be contacted via phone (256) 739-4000.Contact Information
Primary practice address
1000 2Nd Ave Sw
Cullman AL 35055-4934
Phone: (256) 739-4000
Fax: (256) 734-1390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S541TA016 | Alabama |
Profile Details
| NPI number | 1669464582 |
|---|---|
| LBN Legal business name | Boozer, R Bryan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2005 |
| Last updated | May 9th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669464582 | NPPES |
| Alabama | MEDICAID | 009911832 | |
| Alabama | Other | 515-44928 |
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