Bowling, Derrick

Bowling, Derrick is an sole proprietor health care provider with primary practice located at 3516 Ne 12Th Ave , Oakland Park FL 33334-4524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bowling, Derrick can be contacted via phone (954) 459-5487.

Contact Information

Primary practice address
3516 Ne 12Th Ave Oakland Park FL 33334-4524
Phone: (954) 459-5487
Fax: (954) 530-9774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00025470 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16-320 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME132532 Florida

Profile Details

NPI number 1184626277
LBN Legal business name Bowling, Derrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2005
Last updated Apr 17th, 2020 - about 4 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 1184626277 NPPES
Alabama MEDICAID 009984025

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