Bowman, Robley Kivette
Bowman, Robley Kivette is an individual health care provider with primary practice located at 1725 South Main Street Suite 202, Wake Forest NC 27587. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Bowman, Robley Kivette can be contacted via phone (919) 556-6501.Contact Information
Primary practice address
1725 South Main Street Suite 202
Wake Forest NC 27587
Phone: (919) 556-6501
Fax: (919) 556-4933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2245 | North Carolina |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2245 | North Carolina |
Profile Details
| NPI number | 1306958434 |
|---|---|
| LBN Legal business name | Bowman, Robley Kivette |
| Credentials | MA LPA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306958434 | NPPES |
| North Carolina | Other | 046MJ | BCBS |
| North Carolina | Other | 046MJ | BCBS |
| North Carolina | MEDICAID | 6107139 | BCBS |
| North Carolina | Other | 8236 | BCBS |
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