Bowersox, Harold Jonathan
Bowersox, Harold Jonathan is an individual health care provider with primary practice located at 9500 Mentor Ave Suite 360, Mentor OH 44060-8713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bowersox, Harold Jonathan can be contacted via phone (440) 255-5508.Contact Information
Primary practice address
9500 Mentor Ave Suite 360
Mentor OH 44060-8713
Phone: (440) 255-5508
Fax: (440) 357-4416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34-003486 | Ohio |
Profile Details
| NPI number | 1447362066 |
|---|---|
| LBN Legal business name | Bowersox, Harold Jonathan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 26th, 2021 - 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 | 1447362066 | NPPES |
| Ohio | Other | 000000210429 | ANTHEM |
| Ohio | Other | 080180930 | ANTHEM |
| Ohio | MEDICAID | 0548447 | ANTHEM |
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