Bozone, Marlin D

Bozone, Marlin D is an individual health care provider with primary practice located at 2250 S Woodworth Loop Ste 202 , Palmer AK 99645-7457. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Bozone, Marlin D can be contacted via phone (907) 761-5800.

Contact Information

Primary practice address
2250 S Woodworth Loop Ste 202 Palmer AK 99645-7457
Phone: (907) 761-5800
Fax: (907) 762-5801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 199 Alaska

Profile Details

NPI number 1548295009
LBN Legal business name Bozone, Marlin D
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 28th, 2019 - about 7 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 1548295009 NPPES
Alaska MEDICAID MH4828

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