Bowden, Roy Thomas

Bowden, Roy Thomas is an individual health care provider with primary practice located at 3701 Maccorkle Ave Se , Charleston WV 25304-1525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bowden, Roy Thomas can be contacted via phone (304) 720-2345.

Contact Information

Primary practice address
3701 Maccorkle Ave Se Charleston WV 25304-1525
Phone: (304) 720-2345
Fax: (304) 720-2347
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1668 West Virginia

Profile Details

NPI number 1174594642
LBN Legal business name Bowden, Roy Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Oct 4th, 2022 - about 2 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 1174594642 NPPES
West Virginia MEDICAID 5600478000

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