Bowman, Andrew Joseph

Bowman, Andrew Joseph is an sole proprietor health care provider with primary practice located at 2605 N Lebanon St , Lebanon IN 46052-1476. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Bowman, Andrew Joseph can be contacted via phone (765) 485-8500.

Contact Information

Primary practice address
2605 N Lebanon St Lebanon IN 46052-1476
Phone: (765) 485-8500
Fax: (765) 485-8509
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71002461A Indiana

Profile Details

NPI number 1649458829
LBN Legal business name Bowman, Andrew Joseph
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2008
Last updated Feb 12th, 2010 - about 15 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 1649458829 NPPES
Indiana Other 000000639992 ANTHEM PROVIDER NUMBER
Indiana MEDICAID PENDING ANTHEM PROVIDER NUMBER

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