Bowman, Brooke A

Bowman, Brooke A is an individual health care provider with primary practice located at 1600 Sutter Pl , Clovis NM 88101-4611. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Bowman, Brooke A can be contacted via phone (505) 769-4490.

Contact Information

Primary practice address
1600 Sutter Pl Clovis NM 88101-4611
Fax: (505) 935-0011
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X M05817 New Mexico

Profile Details

NPI number 1245309517
LBN Legal business name Bowman, Brooke A
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Aug 27th, 2007 - about 17 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 1245309517 NPPES
New Mexico MEDICAID 43758312

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