Bozeman, Matthew Cameron
Bozeman, Matthew Cameron is an individual health care provider with primary practice located at 401 E Chestnut St Ste 710, Louisville KY 40202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Bozeman, Matthew Cameron can be contacted via phone (502) 583-8303.Contact Information
Primary practice address
401 E Chestnut St Ste 710
Louisville KY 40202
Phone: (502) 583-8303
Fax: (502) 584-0302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 46842 | Kentucky |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 46842 | Kentucky |
Profile Details
| NPI number | 1558533687 |
|---|---|
| LBN Legal business name | Bozeman, Matthew Cameron |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2008 |
| Last updated | Jun 27th, 2018 - about 6 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 | 1558533687 | NPPES |
| Kentucky | MEDICAID | 7100142030 | |
| Kentucky | MEDICAID | 201232250 |
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