Bowersox, Jon C.
Bowersox, Jon C. is an sole proprietor health care provider with primary practice located at 700 S Park St , Madison WI 53715-1830. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Bowersox, Jon C. can be contacted via phone (608) 251-6100.Contact Information
Primary practice address
700 S Park St
Madison WI 53715-1830
Phone: (608) 251-6100
Fax: (608) 260-2976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | G72140 | California |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G72140 | California |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 63678-20 | Wisconsin |
Profile Details
| NPI number | 1164488946 |
|---|---|
| LBN Legal business name | Bowersox, Jon C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Aug 11th, 2023 - about last year |
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 | 1164488946 | NPPES |
| Wisconsin | MEDICAID | 1164488946 | |
| Wisconsin | MEDICAID | 2690655 |
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