Bozarth, Nicholas Wade

Bozarth, Nicholas Wade is an individual health care provider with primary practice located at 1220 E Polston Ave , Post Falls ID 83854-6056. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bozarth, Nicholas Wade can be contacted via phone (208) 773-1577.

Contact Information

Primary practice address
1220 E Polston Ave Post Falls ID 83854-6056
Phone: (208) 773-1577
Fax: (208) 773-8585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60595543 Washington

Profile Details

NPI number 1326440827
LBN Legal business name Bozarth, Nicholas Wade
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2014
Last updated Jul 5th, 2023 - about 2 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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