Bozzelle, Joseph Robert

Bozzelle, Joseph Robert is an individual health care provider with primary practice located at 501 W. St. Mary Blvd Ste 110, Lafayette LA 70506. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Other Service Providers / Specialist is his primary health care specialty. Bozzelle, Joseph Robert can be contacted via phone (337) 233-8887.

Contact Information

Primary practice address
501 W. St. Mary Blvd Ste 110 Lafayette LA 70506
Phone: (337) 233-8887
Fax: (337) 233-8887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 024894 Louisiana
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD.024894 Louisiana
Other Service Providers / Specialist 174400000X MD.024894 Louisiana

Profile Details

NPI number 1851350151
LBN Legal business name Bozzelle, Joseph Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 7th, 2022 - about 3 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 1851350151 NPPES
Louisiana MEDICAID 1420255

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