Bowen, Lisa Rae

Bowen, Lisa Rae is an individual health care provider with primary practice located at 12 Mitchell Blvd , San Rafael CA 94903-2009. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Health Educator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Bowen, Lisa Rae can be contacted via phone (415) 454-3400.

Contact Information

Primary practice address
12 Mitchell Blvd San Rafael CA 94903-2009
Phone: (415) 454-3400
Fax: (415) 532-1879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X CAMTC 32577 California

Profile Details

NPI number 1285031435
LBN Legal business name Bowen, Lisa Rae
Credentials CMP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2014
Last updated Dec 2nd, 2014 - about 11 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 1285031435 NPPES
California Other 32577 CAMTC

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