Bowman, Edith G

Bowman, Edith G is an individual health care provider with primary practice located at 2001 S Shields St Ste J1 , Fort Collins CO 80526-1837. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bowman, Edith G can be contacted via phone (970) 206-0100.

Contact Information

Primary practice address
2001 S Shields St Ste J1 Fort Collins CO 80526-1837
Fax: (970) 206-0100
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1735 Colorado

Profile Details

NPI number 1801886502
LBN Legal business name Bowman, Edith G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Mar 31st, 2011 - about 13 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 1801886502 NPPES
Colorado MEDICAID 74277227

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