Bowditch, Robert Raymond

Bowditch, Robert Raymond is an individual health care provider with primary practice located at 301 Hoffman St , Elmira NY 14905-2220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bowditch, Robert Raymond can be contacted via phone (607) 733-1156.

Contact Information

Primary practice address
301 Hoffman St Elmira NY 14905-2220
Fax: (607) 737-7968
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 116261 New York

Profile Details

NPI number 1003809492
LBN Legal business name Bowditch, Robert Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jun 8th, 2016 - about 8 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 1003809492 NPPES
Other 01039 BCBS
MEDICAID 00626962 BCBS

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