Bowen, Mary L
Bowen, Mary L is an individual health care provider with primary practice located at 300 Maple St W , Hampton SC 29924-3238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bowen, Mary L can be contacted via phone (803) 943-3813.Contact Information
Primary practice address
300 Maple St W
Hampton SC 29924-3238
Phone: (803) 943-3813
Fax: (803) 943-5971
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F1833 | South Carolina |
Profile Details
NPI number | 1790744662 |
---|---|
LBN Legal business name | Bowen, Mary L |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2006 |
Last updated | Jul 21st, 2022 - about 3 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 | 1790744662 | NPPES |
South Carolina | MEDICAID | NP0734 | |
South Carolina | Other | P01173874 |
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