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:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1699727651 | NPPES |
| Florida | Other | Z083G | BCBS |
| Florida | MEDICAID | 7678878 | BCBS |
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