Bowersock, Dana
Bowersock, Dana is an sole proprietor health care provider with primary practice located at 5701 Mojave St Nw Maria Hughes Es, Albuquerque NM 87120-3032. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bowersock, Dana can be contacted via phone (505) 897-3080.Contact Information
Primary practice address
5701 Mojave St Nw Maria Hughes Es
Albuquerque NM 87120-3032
Phone: (505) 897-3080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3226 | New Mexico |
Profile Details
| NPI number | 1730225533 |
|---|---|
| LBN Legal business name | Bowersock, Dana |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1730225533 | NPPES |
| New Mexico | MEDICAID | K 6084 |
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