Bowen, Vaughan Richard

Bowen, Vaughan Richard is an individual health care provider with primary practice located at 4447 S Canyon Rd Ste 6 , Rapid City SD 57702-1889. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bowen, Vaughan Richard can be contacted via phone (605) 716-0548.

Contact Information

Primary practice address
4447 S Canyon Rd Ste 6 Rapid City SD 57702-1889
Phone: (605) 716-0548
Fax: (605) 716-0447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 20580 Nebraska
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 2020030112 Missouri
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 11214 South Dakota

Profile Details

NPI number 1376520049
LBN Legal business name Bowen, Vaughan Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Nov 2nd, 2022 - 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 1376520049 NPPES
Nebraska Other 03182 BCBSNE
Nebraska MEDICAID 47053662300 BCBSNE
Nebraska MEDICAID 2000890207 BCBSNE

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