Bowles, Casey Rae

Bowles, Casey Rae is an individual health care provider with primary practice located at 4615 Huntridge Rd , Roanoke VA 24012-8510. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bowles, Casey Rae can be contacted via phone (540) 977-0900.

Contact Information

Primary practice address
4615 Huntridge Rd Roanoke VA 24012-8510
Phone: (540) 977-0900
Fax: (540) 977-0550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004997 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110004997 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110004997 Virginia

Profile Details

NPI number 1962885020
LBN Legal business name Bowles, Casey Rae
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2015
Last updated May 2nd, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962885020 NPPES
Virginia MEDICAID 1962885020

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