Bowers, Paul Kendell
Bowers, Paul Kendell is an individual health care provider with primary practice located at 1133 Call Pl Ste A , Pocatello ID 83201-3076. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Sports Physician, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Bowers, Paul Kendell can be contacted via phone (208) 232-1000.Contact Information
Primary practice address
1133 Call Pl Ste A
Pocatello ID 83201-3076
Phone: (208) 232-1000
Fax: (208) 232-1006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | CHIA-901 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-1325A | Idaho |
Profile Details
| NPI number | 1386682862 |
|---|---|
| LBN Legal business name | Bowers, Paul Kendell |
| Credentials | FNP-C, D.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Sep 3rd, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386682862 | NPPES |
| Idaho | Other | C1658 | BLUE CROSS OF IDAHO |
| Idaho | MEDICAID | 805681800 | BLUE CROSS OF IDAHO |
| Idaho | Other | 000010027899 | BLUE CROSS OF IDAHO |
| Idaho | Other | 350052262 | BLUE CROSS OF IDAHO |
| Idaho | Other | 820530992 | BLUE CROSS OF IDAHO |
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