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
Phone: (262) 654-6005
Fax: (262) 654-5989
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942308010 | NPPES |
| Wisconsin | MEDICAID | 38525800 |
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