Bowen, Beverly Anne

Bowen, Beverly Anne is an individual health care provider with primary practice located at 1150 45Th St , West Palm Beach FL 33407-2361. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Bowen, Beverly Anne can be contacted via phone (156) 164-2100.

Contact Information

Primary practice address
1150 45Th St West Palm Beach FL 33407-2361
Phone: (156) 164-2100
Fax: (561) 804-5629
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X DN25312 Florida

Profile Details

NPI number 1124687090
LBN Legal business name Bowen, Beverly Anne
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2019
Last updated Jan 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124687090 NPPES
Florida MEDICAID 115152300

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