Bowden, John Bradford
Bowden, John Bradford is an sole proprietor health care provider with primary practice located at 1651 Galisteo St Ste 5 , Santa Fe NM 87505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bowden, John Bradford can be contacted via phone (505) 983-0286.Contact Information
Primary practice address
1651 Galisteo St Ste 5
Santa Fe NM 87505
Phone: (505) 983-0286
Fax: (505) 983-9203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | H6065 | Texas |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD2015-0592 | New Mexico |
Profile Details
| NPI number | 1831158385 |
|---|---|
| LBN Legal business name | Bowden, John Bradford |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Oct 23rd, 2020 - about 4 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 | 1831158385 | NPPES |
| Texas | MEDICAID | 131854503 | |
| Texas | Other | L27J | |
| Texas | Other | 8AW453 |
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