Bower, Robert Bruce

Bower, Robert Bruce is an sole proprietor health care provider with primary practice located at 2301 75Th St , Kenosha WI 53143-1403. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bower, Robert Bruce can be contacted via phone (262) 654-6005.

Contact Information

Primary practice address
2301 75Th St Kenosha WI 53143-1403
Fax: (262) 654-5989
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1496 Wisconsin

Profile Details

NPI number 1942308010
LBN Legal business name Bower, Robert Bruce
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Nov 25th, 2009 - about 17 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 1942308010 NPPES
Wisconsin MEDICAID 38525800

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