Bowling, Bruce T

Bowling, Bruce T is an individual health care provider with primary practice located at 415 Hooper Rd Endwell Family Physicians Llp, Endwell NY 13760-3698. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bowling, Bruce T can be contacted via phone (607) 754-3863.

Contact Information

Primary practice address
415 Hooper Rd Endwell Family Physicians Llp Endwell NY 13760-3698
Phone: (607) 754-3863
Fax: (607) 754-5697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 116545 New York

Profile Details

NPI number 1407881832
LBN Legal business name Bowling, Bruce T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1407881832 NPPES
New York MEDICAID 00557539
New York Other 88510
New York Other 4210349
New York Other 58140
New York Other 878446
New York Other NY0042948
New York Other 10031769
New York Other 1040
New York Other 1040
New York Other 1040
New York Other 1040
New York Other 9689459

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