Bowden, Phillip R
Bowden, Phillip R is an sole proprietor health care provider with primary practice located at 1417 Monroe Ave , Memphis TN 38104-3634. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bowden, Phillip R can be contacted via phone (901) 272-7200.Contact Information
Primary practice address
1417 Monroe Ave
Memphis TN 38104-3634
Phone: (901) 272-7200
Fax: (901) 260-5916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25950 | Tennessee |
Profile Details
| NPI number | 1811003635 |
|---|---|
| LBN Legal business name | Bowden, Phillip R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Feb 29th, 2012 - about 14 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 | 1811003635 | NPPES |
| Tennessee | MEDICAID | 3088251 | |
| Tennessee | Other | 25950 |
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