Bowdish, Matthew Stiles
Bowdish, Matthew Stiles is an individual health care provider with primary practice located at 1528 Eureka Rd Ste 102 , Roseville CA 95661-3047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Bowdish, Matthew Stiles can be contacted via phone (916) 736-6644.Contact Information
Primary practice address
1528 Eureka Rd Ste 102
Roseville CA 95661-3047
Phone: (916) 736-6644
Fax: (916) 774-0143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 044700 | Connecticut |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | A92192 | California |
Profile Details
| NPI number | 1770767923 |
|---|---|
| LBN Legal business name | Bowdish, Matthew Stiles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 24th, 2007 |
| Last updated | Apr 18th, 2023 - about 3 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 | 1770767923 | NPPES |
| California | MEDICAID | 100090065 | |
| California | Other | CA229333 |
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