Bozeman, Amy M

Bozeman, Amy M is an individual health care provider with primary practice located at 1501 Kings Hwy , Shreveport LA 71103-4228. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bozeman, Amy M can be contacted via phone (318) 675-5000.

Contact Information

Primary practice address
1501 Kings Hwy Shreveport LA 71103-4228
Phone: (318) 675-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.200677 Louisiana

Profile Details

NPI number 1265861058
LBN Legal business name Bozeman, Amy M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2013
Last updated Dec 2nd, 2014 - about 12 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 1265861058 NPPES
Louisiana Other 329917YH54 MEDICARE - PTAN
Louisiana MEDICAID 2348221 MEDICARE - PTAN

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