Bowlin, Randal G
Bowlin, Randal G is an individual health care provider with primary practice located at 2425 Dave Ward Dr Ste 401, Conway AR 72034-8686. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bowlin, Randal G can be contacted via phone (501) 329-3824.Contact Information
Primary practice address
2425 Dave Ward Dr Ste 401
Conway AR 72034-8686
Phone: (501) 329-3824
Fax: (501) 327-2957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C7060 | Arkansas |
Profile Details
| NPI number | 1265419774 |
|---|---|
| LBN Legal business name | Bowlin, Randal G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Jul 14th, 2010 - about 14 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 | 1265419774 | NPPES |
| Arkansas | MEDICAID | 115745001 |
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