Bowman, Ralph Edward

Bowman, Ralph Edward is an sole proprietor health care provider with primary practice located at 170 E Main St , Port Jervis NY 12771-2220. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bowman, Ralph Edward can be contacted via phone (845) 856-3323.

Contact Information

Primary practice address
170 E Main St Port Jervis NY 12771-2220
Fax: (845) 856-6107
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 167733 New York

Profile Details

NPI number 1841286382
LBN Legal business name Bowman, Ralph Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Jul 16th, 2015 - about 11 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 1841286382 NPPES
New York MEDICAID 01035116

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