Bowers, Mark

Bowers, Mark is an individual health care provider with primary practice located at 1965 S Fremont Ave Ste 330 , Springfield MO 65804. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Bowers, Mark can be contacted via phone (417) 820-8180.

Contact Information

Primary practice address
1965 S Fremont Ave Ste 330 Springfield MO 65804
Phone: (417) 820-8180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2009019530 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2015003166 Missouri

Profile Details

NPI number 1316338924
LBN Legal business name Bowers, Mark
Credentials FPMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2015
Last updated Jul 13th, 2018 - about 8 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 1316338924 NPPES
Missouri MEDICAID 420020142

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