Bowlson, Angela Renee

Bowlson, Angela Renee is an individual health care provider with primary practice located at 3837 Vaile Ave Suite A, Florissant MO 63034-2210. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Bowlson, Angela Renee can be contacted via phone (314) 831-6400.

Contact Information

Primary practice address
3837 Vaile Ave Suite A Florissant MO 63034-2210
Phone: (314) 831-6400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1972779791
LBN Legal business name Bowlson, Angela Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2008
Last updated May 1st, 2008 - 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 1972779791 NPPES
Missouri MEDICAID 289733602

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