Bowersox, Dylan Lee

Bowersox, Dylan Lee is an individual health care provider with primary practice located at 2380 Wildwood Rd , Mifflinburg PA 17844-8250. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Bowersox, Dylan Lee can be contacted via phone (570) 428-5047.

Contact Information

Primary practice address
2380 Wildwood Rd Mifflinburg PA 17844-8250
Phone: (570) 428-5047
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X RTO000232 Pennsylvania

Profile Details

NPI number 1003466095
LBN Legal business name Bowersox, Dylan Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2019
Last updated Sep 12th, 2019 - about 6 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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