Bowen, Jonathan

Bowen, Jonathan is an individual health care provider with primary practice located at 4510 N 37Th Ave , Phoenix AZ 85019-3206. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Bowen, Jonathan can be contacted via phone (602) 336-2990.

Contact Information

Primary practice address
4510 N 37Th Ave Phoenix AZ 85019-3206
Phone: (602) 336-2990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1437295813
LBN Legal business name Bowen, Jonathan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 9th, 2007 - about 18 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 1437295813 NPPES
Arizona MEDICAID 594508

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