Bowers, Brien O

Bowers, Brien O is an individual health care provider with primary practice located at 202 Waters Edge Dr , Leesburg FL 34748-7074. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Bowers, Brien O can be contacted via phone (352) 365-1842.

Contact Information

Primary practice address
202 Waters Edge Dr Leesburg FL 34748-7074
Fax: (352) 365-9878
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1962660225
LBN Legal business name Bowers, Brien O
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated May 22nd, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962660225 NPPES
Florida MEDICAID 693305096
Florida MEDICAID 693305098

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