Bowman, Brent W

Bowman, Brent W is an individual health care provider with primary practice located at 130 Mill Rd , Horseshoe Bend ID 83629-5103. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Bowman, Brent W can be contacted via phone (208) 793-3115.

Contact Information

Primary practice address
130 Mill Rd Horseshoe Bend ID 83629-5103
Phone: (208) 793-3115
Fax: (208) 793-3321
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X H-256 Idaho

Profile Details

NPI number 1700924263
LBN Legal business name Bowman, Brent W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2007
Last updated Jul 8th, 2007 - about 19 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 1700924263 NPPES
Idaho Other AU555 BLUE CROSS OF IDAHO

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