Bowen, Thera Ann
Bowen, Thera Ann is an individual health care provider with primary practice located at 202 Cherry St , Milford CT 06460-3502. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bowen, Thera Ann can be contacted via phone (203) 878-1236.Contact Information
Primary practice address
202 Cherry St
Milford CT 06460-3502
Phone: (203) 878-1236
Fax: (203) 876-5196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002261 | Connecticut |
Profile Details
| NPI number | 1023196037 |
|---|---|
| LBN Legal business name | Bowen, Thera Ann |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Mar 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023196037 | NPPES |
| Connecticut | MEDICAID | 004195063 GR# | |
| Connecticut | MEDICAID | 4123535 |
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