Bowen, Charles Raymond
Bowen, Charles Raymond is an individual health care provider with primary practice located at 58 Court St , Middlebury VT 05753-4450. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bowen, Charles Raymond can be contacted via phone (802) 388-6344.Contact Information
Primary practice address
58 Court St
Middlebury VT 05753-4450
Phone: (802) 388-6344
Fax: (802) 388-4103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 0160000507 | Vermont |
Profile Details
| NPI number | 1750397980 |
|---|---|
| LBN Legal business name | Bowen, Charles Raymond |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Sep 1st, 2010 - 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 | 1750397980 | NPPES |
| New York | MEDICAID | 02500030 | |
| New York | Other | 1565 | |
| New York | Other | 102V102 | |
| New York | MEDICAID | 1565 |
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