Bowdoin, Shawn Russell

Bowdoin, Shawn Russell is an individual health care provider with primary practice located at Psc 482 Box 4, Fpo AP 96362-9998. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bowdoin, Shawn Russell can be contacted via phone (315) 643-7490.

Contact Information

Primary practice address
Psc 482 Box 4 Fpo AP 96362-9998
Phone: (315) 643-7490
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 87780 California

Profile Details

NPI number 1164772190
LBN Legal business name Bowdoin, Shawn Russell
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2012
Last updated Sep 18th, 2012 - about 13 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 1164772190 NPPES
California Other 87780 NATIONAL BOARD OF CERTIFICATION REGISTERED NURSE ANESTHETIST

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