Bowen, Rodney
Bowen, Rodney is an individual health care provider with primary practice located at 2204 Wilborn Ave , South Boston VA 24592-1645. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bowen, Rodney can be contacted via phone (434) 738-8586.Contact Information
Primary practice address
2204 Wilborn Ave
South Boston VA 24592-1645
Phone: (434) 738-8586
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110004458 | Virginia |
Profile Details
NPI number | 1629499082 |
---|---|
LBN Legal business name | Bowen, Rodney |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 2nd, 2014 |
Last updated | Jan 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629499082 | NPPES |
Virginia | Other | 0110004458 | VA LICENSE |
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