Bowerman, Douglas W
Bowerman, Douglas W is an individual health care provider with primary practice located at 2 Coulter Road , Clifton Springs NY 14432. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Bowerman, Douglas W can be contacted via phone (315) 462-9561.Contact Information
Primary practice address
2 Coulter Road
Clifton Springs NY 14432
Phone: (315) 462-9561
Fax: (315) 462-5504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 221124 | New York |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 221124 | New York |
Profile Details
| NPI number | 1275621153 |
|---|---|
| LBN Legal business name | Bowerman, Douglas W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Mar 21st, 2023 - about last year |
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 | 1275621153 | NPPES |
| New York | MEDICAID | 02168014 |
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