Bozeman, Jimmy G
Bozeman, Jimmy G is an individual health care provider with primary practice located at 507 N Main St , Salem AR 72576-9449. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bozeman, Jimmy G can be contacted via phone (870) 895-2541.Contact Information
Primary practice address
507 N Main St
Salem AR 72576-9449
Phone: (870) 895-2541
Fax: (870) 895-2957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | C-4579 | Arkansas |
Profile Details
| NPI number | 1164499935 |
|---|---|
| LBN Legal business name | Bozeman, Jimmy G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Feb 1st, 2017 - about 9 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 | 1164499935 | NPPES |
| Missouri | Other | 200621605 | MEDICAID |
| Missouri | Other | 50573 | MEDICAID |
| Missouri | MEDICAID | 102258001 | MEDICAID |
| Missouri | Other | 127770000 | MEDICAID |
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