Bovenmyer, John Allen

Bovenmyer, John Allen is an individual health care provider with primary practice located at 3319 Spring St Suite 102, Davenport IA 52807-2125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bovenmyer, John Allen can be contacted via phone (563) 359-1671.

Contact Information

Primary practice address
3319 Spring St Suite 102 Davenport IA 52807-2125
Phone: (563) 359-1671
Fax: (563) 359-7813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 24892 Iowa

Profile Details

NPI number 1396803375
LBN Legal business name Bovenmyer, John Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jan 18th, 2008 - about 16 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 1396803375 NPPES
Iowa Other 28028 WELLMART BC-BS
Iowa Other A002022 WELLMART BC-BS

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