Bowie State University

LBN: Bowie State University
Bowie State University is an health care organization with primary practice located at 14000 Jericho Park Road Henry Wise Wellness Center, Cmrc, Lower Level, Bowie MD 20715. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Phlebology, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is the primary health care specialty. Bowie State University can be contacted via phone (301) 860-4170, or through Travis, Artie Lee via phone (301) 860-3390.

Contact Information

Primary practice address
14000 Jericho Park Road Henry Wise Wellness Center, Cmrc, Lower Level Bowie MD 20715
Phone: (301) 860-4170
Fax: (601) 860-4179
Website:
Map and Directions
Authorized official contact:
Name: Travis, Artie Lee ED.D.
Phone: (301) 860-3390

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X

Profile Details

NPI number 1154888048
LBN Legal business name Bowie State University
DBA Doing business as
Authorized official Travis, Artie Lee ED.D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 27th, 2019
Last updated Feb 27th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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