Bowman, John Theodore

Bowman, John Theodore is an individual health care provider with primary practice located at 1 Ridgewood Dr , Bangor ME 04401-2652. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Bowman, John Theodore can be contacted via phone (207) 945-6200.

Contact Information

Primary practice address
1 Ridgewood Dr Bangor ME 04401-2652
Phone: (207) 945-6200
Fax: (207) 990-3015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X E-12105 Arkansas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X EL-05-010 Maine

Profile Details

NPI number 1396731006
LBN Legal business name Bowman, John Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated May 16th, 2022 - about 4 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 1396731006 NPPES
Other 11501881 CAQH

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