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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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 1619919156 NPPES
Other 646000515 COMMERCIAL
Other P00280787 COMMERCIAL
MEDICAID 02277207 COMMERCIAL

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