Bowker, Sandra W

Bowker, Sandra W is an sole proprietor health care provider with primary practice located at 5148 Lovers Ln Ste 2 , Portage MI 49002-1572. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Bowker, Sandra W can be contacted via phone (269) 343-3010.

Contact Information

Primary practice address
5148 Lovers Ln Ste 2 Portage MI 49002-1572
Phone: (269) 343-3010
Fax: (269) 343-3017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6301010557 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301010557 Michigan

Profile Details

NPI number 1780633388
LBN Legal business name Bowker, Sandra W
Credentials PHD, ABPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2006
Last updated Dec 6th, 2015 - about 11 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 1780633388 NPPES
Michigan Other 0C96409 BCBSM
Michigan Other 6130541 BCBSM

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