Bowen-Wells, Carol Patricia Robertine

Bowen-Wells, Carol Patricia Robertine is an individual health care provider with primary practice located at 3 Shircliff Way Suite 630, Jacksonville FL 32204-4776. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Bowen-Wells, Carol Patricia Robertine can be contacted via phone (904) 281-5878.

Contact Information

Primary practice address
3 Shircliff Way Suite 630 Jacksonville FL 32204-4776
Phone: (904) 281-5878
Fax: (904) 645-5856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 41473 Kentucky
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 41473 Kentucky
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X ME104932 Florida

Profile Details

NPI number 1174710982
LBN Legal business name Bowen-Wells, Carol Patricia Robertine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2007
Last updated Mar 14th, 2011 - about 15 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 1174710982 NPPES
Kentucky Other 37903705 MEDICAID LAB GROUP
Kentucky Other 4000501 MEDICAID LAB GROUP
Kentucky MEDICAID 0013091-00 MEDICAID LAB GROUP

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