Bowling, Richard G
Bowling, Richard G is an sole proprietor health care provider with primary practice located at 2501 Jimmy Johnson Blvd, #400 , Port Arthur TX 77640. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bowling, Richard G can be contacted via phone (409) 729-5633.Contact Information
Primary practice address
2501 Jimmy Johnson Blvd, #400
Port Arthur TX 77640
Phone: (409) 729-5633
Fax: (409) 729-9760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1304 | Texas |
Profile Details
| NPI number | 1962409698 |
|---|---|
| LBN Legal business name | Bowling, Richard G |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Feb 3rd, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962409698 | NPPES |
| Texas | Other | 5116373 | AETNA |
| Texas | Other | 8778423210 | AETNA |
| Texas | Other | 9019276 | AETNA |
| Texas | MEDICAID | 018836901 | AETNA |
| Texas | Other | 00U60X | AETNA |
| Texas | Other | 15486 | AETNA |
| Texas | Other | 20300 | AETNA |
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