Bowling, Daniel Layne
Bowling, Daniel Layne is an sole proprietor health care provider with primary practice located at 122 Tazewell St , Pearisburg VA 24134-1632. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bowling, Daniel Layne can be contacted via phone (540) 921-3921.Contact Information
Primary practice address
122 Tazewell St
Pearisburg VA 24134-1632
Phone: (540) 921-3921
Fax: (540) 921-1328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618000310 | Virginia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 710D | West Virginia |
Profile Details
| NPI number | 1649239112 |
|---|---|
| LBN Legal business name | Bowling, Daniel Layne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Sep 18th, 2008 - about 15 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 | 1649239112 | NPPES |
| Other | 4540178 | AETNA | |
| MEDICAID | 009204504 | AETNA | |
| Other | 004178 | AETNA | |
| Other | 1461175 | AETNA | |
| Other | 004178 | AETNA |
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