Bowen, Neal A

Bowen, Neal A is an individual health care provider with primary practice located at 530 Demoss St. Hidalgo Medical Services, Lordsburg NM 88045-2618. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Bowen, Neal A can be contacted via phone (505) 542-2371.

Contact Information

Primary practice address
530 Demoss St. Hidalgo Medical Services Lordsburg NM 88045-2618
Phone: (505) 542-2371
Fax: (575) 542-2388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0088451 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00008191 Washington
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1020 New Mexico

Profile Details

NPI number 1942287602
LBN Legal business name Bowen, Neal A
Credentials PHD, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Sep 5th, 2014 - about 10 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 1942287602 NPPES
New Mexico Other 342730907 MEDICARE PTAN
New Mexico MEDICAID 34186875 MEDICARE PTAN

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