Bowennesheim, Lady

Bowennesheim, Lady is an sole proprietor health care provider with primary practice located at 431 W Liberty St , Wauconda IL 60084-2452. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bowennesheim, Lady can be contacted via phone (847) 526-2151.

Contact Information

Primary practice address
431 W Liberty St Wauconda IL 60084-2452
Phone: (847) 526-2151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.012098 Illinois

Profile Details

NPI number 1790175826
LBN Legal business name Bowennesheim, Lady
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2015
Last updated Dec 9th, 2019 - about 5 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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