Bowman, Brodie Len
Bowman, Brodie Len is an individual health care provider with primary practice located at 28 Racetrack Rd Nw , Fort Walton Beach FL 32547-1640. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bowman, Brodie Len can be contacted via phone (850) 863-2122.Contact Information
Primary practice address
28 Racetrack Rd Nw
Fort Walton Beach FL 32547-1640
Phone: (850) 863-2122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN 16286 | Florida |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 9750 | Colorado |
Profile Details
| NPI number | 1952392052 |
|---|---|
| LBN Legal business name | Bowman, Brodie Len |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Feb 4th, 2013 - about 11 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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