Bozarth, Kevin Wayne

Bozarth, Kevin Wayne is an individual health care provider with primary practice located at 915 Highland Blvd , Bozeman MT 59715-6902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bozarth, Kevin Wayne can be contacted via phone (800) 461-3981.

Contact Information

Primary practice address
915 Highland Blvd Bozeman MT 59715-6902
Fax: (801) 733-5872
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 10438 Montana

Profile Details

NPI number 1285654558
LBN Legal business name Bozarth, Kevin Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1285654558 NPPES
Montana Other 1343108880000 CHAMPUS

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