Bowen, Lennon E.
Bowen, Lennon E. is an individual health care provider with primary practice located at 6300 E Lake Blvd Ste 201 , Vancleave MS 39565. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Bowen, Lennon E. can be contacted via phone (228) 230-2663.Contact Information
Primary practice address
6300 E Lake Blvd Ste 201
Vancleave MS 39565
Phone: (228) 230-2663
Fax: (228) 206-1192
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 18586 | Mississippi |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 18586 | Mississippi |
Profile Details
NPI number | 1619919156 |
---|---|
LBN Legal business name | Bowen, Lennon E. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 11th, 2006 |
Last updated | Dec 14th, 2018 - about 7 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 | 1619919156 | NPPES |
Other | 646000515 | COMMERCIAL | |
Other | P00280787 | COMMERCIAL | |
MEDICAID | 02277207 | COMMERCIAL |
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