Bowen, David W

Bowen, David W is an individual health care provider with primary practice located at 653 Summer St Fl 2 , Boston MA 02210-2108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bowen, David W can be contacted via phone (617) 269-6262.

Contact Information

Primary practice address
653 Summer St Fl 2 Boston MA 02210-2108
Phone: (617) 269-6262
Fax: (617) 269-1068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 25689 Massachusetts

Profile Details

NPI number 1902573025
LBN Legal business name Bowen, David W
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2021
Last updated Nov 9th, 2021 - about 4 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 1902573025 NPPES
Massachusetts MEDICAID 110088221A

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