Bowcott, Chad

Bowcott, Chad is an individual health care provider with primary practice located at 135 N Williamsburg Dr , Bloomington IL 61704-3528. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Bowcott, Chad can be contacted via phone (309) 661-8823.

Contact Information

Primary practice address
135 N Williamsburg Dr Bloomington IL 61704-3528
Phone: (309) 661-8823
Fax: (309) 661-8801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056004599 Illinois

Profile Details

NPI number 1205081825
LBN Legal business name Bowcott, Chad
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2008
Last updated Nov 24th, 2008 - about 17 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 1205081825 NPPES
Illinois Other 056004599 LICENSE

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