Bowman, Alan L

Bowman, Alan L is an individual health care provider with primary practice located at 10342 Dyno Dr Suite 2, Hayward WI 54843-6150. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bowman, Alan L can be contacted via phone (715) 699-1371.

Contact Information

Primary practice address
10342 Dyno Dr Suite 2 Hayward WI 54843-6150
Phone: (715) 699-1371
Fax: (866) 245-8064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5868024 Wisconsin

Profile Details

NPI number 1255316469
LBN Legal business name Bowman, Alan L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Sep 27th, 2010 - about 16 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 1255316469 NPPES
Wisconsin MEDICAID 1255316469
Wisconsin MEDICAID 40389300

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