Bozarth, Daniel Wayne

Bozarth, Daniel Wayne is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Bozarth, Daniel Wayne can be contacted via phone (864) 560-6522.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Phone: (864) 560-6522
Fax: (888) 972-8644
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 52309 South Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01059085A Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M1032 Texas
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 4301091459 Michigan
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 52309 South Carolina

Profile Details

NPI number 1205891025
LBN Legal business name Bozarth, Daniel Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Aug 10th, 2020 - about 4 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 1205891025 NPPES
South Carolina MEDICAID SCD6671324

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