Bowers, Amanda C
Bowers, Amanda C is an sole proprietor health care provider with primary practice located at 70 Atlantic Ave , Marblehead MA 01945-3098. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bowers, Amanda C can be contacted via phone (781) 631-7800.Contact Information
Primary practice address
70 Atlantic Ave
Marblehead MA 01945-3098
Phone: (781) 631-7800
Fax: (781) 631-4319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 279201 | Massachusetts |
Profile Details
| NPI number | 1568824902 |
|---|---|
| LBN Legal business name | Bowers, Amanda C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2016 |
| Last updated | Oct 14th, 2022 - about 3 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 | 1568824902 | NPPES |
| Maine | Other | MD23166 | STATE LICENSE |
| Maine | Other | MCSR005248A | STATE LICENSE |
| Maine | Other | 14523875 | STATE LICENSE |
| Maine | Other | 279201 | STATE LICENSE |
| Maine | Other | 042.0014718 | STATE LICENSE |
| Maine | Other | 1470576 | STATE LICENSE |
| Maine | Other | 1015844 | STATE LICENSE |
| Maine | Other | 470641 | STATE LICENSE |
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