Bowden, Douglas Edward
Bowden, Douglas Edward is an individual health care provider with primary practice located at 501 W Washington St , Greenwood MS 38930-4237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bowden, Douglas Edward can be contacted via phone (662) 453-4641.Contact Information
Primary practice address
501 W Washington St
Greenwood MS 38930-4237
Phone: (662) 453-4641
Fax: (662) 455-4731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 13107 | Mississippi |
Profile Details
| NPI number | 1558380477 |
|---|---|
| LBN Legal business name | Bowden, Douglas Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1558380477 | NPPES |
| Mississippi | MEDICAID | 00112065 |
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