Bowyer, Toni Hicks
Bowyer, Toni Hicks is an individual health care provider with primary practice located at 98 Willow Ln , Spartanburg SC 29307-1357. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bowyer, Toni Hicks can be contacted via phone (864) 585-5552.Contact Information
Primary practice address
98 Willow Ln
Spartanburg SC 29307-1357
Phone: (864) 585-5552
Fax: (864) 597-0179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1068 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-00456 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1068 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0010-00456 | North Carolina |
Profile Details
| NPI number | 1003847286 |
|---|---|
| LBN Legal business name | Bowyer, Toni Hicks |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Oct 31st, 2023 - about 3 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 | 1003847286 | NPPES |
| North Carolina | Other | NNK275A | MEDICARE PTAN |
| North Carolina | Other | SCM2214292 | MEDICARE PTAN |
| North Carolina | MEDICAID | 0470PA | MEDICARE PTAN |
| North Carolina | MEDICAID | 1003847286 | MEDICARE PTAN |
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