Bowman, Tracy

Bowman, Tracy is an individual health care provider with primary practice located at 1705 Tarboro St Sw , Wilson NC 27893-3428. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bowman, Tracy can be contacted via phone (252) 399-8928.

Contact Information

Primary practice address
1705 Tarboro St Sw Wilson NC 27893-3428
Phone: (252) 399-8928
Fax: (252) 399-7477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-06396 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001588 Connecticut

Profile Details

NPI number 1043228729
LBN Legal business name Bowman, Tracy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 10th, 2018 - about 8 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 1043228729 NPPES
North Carolina MEDICAID 1043228729

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