Bozeman, Martha A

Bozeman, Martha A is an individual health care provider with primary practice located at 206 Park Place Blvd , Kissimmee FL 34741-2344. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bozeman, Martha A can be contacted via phone (407) 846-0023.

Contact Information

Primary practice address
206 Park Place Blvd Kissimmee FL 34741-2344
Phone: (407) 846-0023
Fax: (407) 483-1064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 6205 Florida

Profile Details

NPI number 1699727651
LBN Legal business name Bozeman, Martha A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1699727651 NPPES
Florida Other Z083G BCBS
Florida MEDICAID 7678878 BCBS

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