Bowman, Charles Ray

Bowman, Charles Ray is an sole proprietor health care provider with primary practice located at 4301 Lisa Ln , Middletown OH 45042-2838. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Bowman, Charles Ray can be contacted via phone (513) 464-3579.

Contact Information

Primary practice address
4301 Lisa Ln Middletown OH 45042-2838
Phone: (513) 464-3579
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN070793 Ohio

Profile Details

NPI number 1265588594
LBN Legal business name Bowman, Charles Ray
Credentials NURSE LPN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2007
Last updated Jul 9th, 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 1265588594 NPPES
Ohio MEDICAID 2188725

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