Bowen-Wells, Carol Patricia Robertine
Bowen-Wells, Carol Patricia Robertine is an individual health care provider with primary practice located at 3 Shircliff Way Suite 630, Jacksonville FL 32204-4776. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Bowen-Wells, Carol Patricia Robertine can be contacted via phone (904) 281-5878.Contact Information
Primary practice address
3 Shircliff Way Suite 630
Jacksonville FL 32204-4776
Phone: (904) 281-5878
Fax: (904) 645-5856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 41473 | Kentucky |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 41473 | Kentucky |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | ME104932 | Florida |
Profile Details
| NPI number | 1174710982 |
|---|---|
| LBN Legal business name | Bowen-Wells, Carol Patricia Robertine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Mar 14th, 2011 - about 13 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 | 1174710982 | NPPES |
| Kentucky | Other | 37903705 | MEDICAID LAB GROUP |
| Kentucky | Other | 4000501 | MEDICAID LAB GROUP |
| Kentucky | MEDICAID | 0013091-00 | MEDICAID LAB GROUP |
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