Bowling, William Brent

Bowling, William Brent is an individual health care provider with primary practice located at 101 Medical Park , Hattiesburg MS 39401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bowling, William Brent can be contacted via phone (601) 268-3735.

Contact Information

Primary practice address
101 Medical Park Hattiesburg MS 39401
Fax: (601) 579-5240
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20264 Mississippi

Profile Details

NPI number 1982803862
LBN Legal business name Bowling, William Brent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Jul 22nd, 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 1982803862 NPPES
Mississippi MEDICAID 01182331
Mississippi Other 9501164

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