Bozeman, Dwayne

Bozeman, Dwayne is an individual health care provider with primary practice located at 1722 S Lewis Rd , Camarillo CA 93012-8520. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Bozeman, Dwayne can be contacted via phone (805) 366-4005.

Contact Information

Primary practice address
1722 S Lewis Rd Camarillo CA 93012-8520
Phone: (805) 366-4005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1497290365
LBN Legal business name Bozeman, Dwayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2016
Last updated May 15th, 2018 - about 8 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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