Bowen, John Russell

Bowen, John Russell is an individual health care provider with primary practice located at 19511 Highland Oaks Dr Ste 201 , Estero FL 33928-9712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bowen, John Russell can be contacted via phone (239) 468-0254.

Contact Information

Primary practice address
19511 Highland Oaks Dr Ste 201 Estero FL 33928-9712
Phone: (239) 468-0254
Fax: (239) 343-3958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20839 Nebraska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME162623 Florida

Profile Details

NPI number 1801945043
LBN Legal business name Bowen, John Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 31st, 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 1801945043 NPPES
Florida MEDICAID 118821800

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