Bozeman, Gary Douglas
Bozeman, Gary Douglas is an individual health care provider with primary practice located at 806 W Broadway , Fulton NY 13069-1533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bozeman, Gary Douglas can be contacted via phone (315) 297-4700.Contact Information
Primary practice address
806 W Broadway
Fulton NY 13069-1533
Phone: (315) 297-4700
Fax: (315) 218-5898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 272579 | New York |
Profile Details
| NPI number | 1659348514 |
|---|---|
| LBN Legal business name | Bozeman, Gary Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Feb 21st, 2014 - about 10 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 | 1659348514 | NPPES |
| South Carolina | MEDICAID | 153372 |
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