Bowens, Grady
Bowens, Grady is an sole proprietor health care provider with primary practice located at 3211 Eastway Dr Ste 13 , Charlotte NC 28205-6679. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Bowens, Grady can be contacted via phone (704) 568-6760.Contact Information
Primary practice address
3211 Eastway Dr Ste 13
Charlotte NC 28205-6679
Phone: (704) 568-6760
Fax: (704) 568-7059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 1336 | North Carolina |
Profile Details
| NPI number | 1912190372 |
|---|---|
| LBN Legal business name | Bowens, Grady |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2007 |
| Last updated | Aug 20th, 2007 - about 17 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 | 1912190372 | NPPES |
| North Carolina | MEDICAID | 8802016 |
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