Bowles, Susan
Bowles, Susan is an individual health care provider with primary practice located at 101 West Coast Rd. , Redway CA 95560-0769. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bowles, Susan can be contacted via phone (707) 923-4313.Contact Information
Primary practice address
101 West Coast Rd.
Redway CA 95560-0769
Phone: (707) 923-4313
Fax: (707) 923-2590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 21385 | California |
Profile Details
| NPI number | 1043702475 |
|---|---|
| LBN Legal business name | Bowles, Susan |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2018 |
| Last updated | Jun 1st, 2018 - about 7 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 | 1043702475 | NPPES |
| California | MEDICAID | 1235206087 |
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