Bowman, Gary L.
Bowman, Gary L. is an individual health care provider with primary practice located at 714 Washington Ave , Detroit Lakes MN 56501-3012. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bowman, Gary L. can be contacted via phone (218) 847-1676.Contact Information
Primary practice address
714 Washington Ave
Detroit Lakes MN 56501-3012
Phone: (218) 847-1676
Fax: (218) 847-1678
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP3287 | Minnesota |
Profile Details
NPI number | 1750321733 |
---|---|
LBN Legal business name | Bowman, Gary L. |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750321733 | NPPES |
Minnesota | Other | 110240 | UCARE MINNESOTA |
Minnesota | Other | 366L4BO | UCARE MINNESOTA |
Minnesota | Other | 61-53881 | UCARE MINNESOTA |
Minnesota | Other | 1011908 | UCARE MINNESOTA |
Minnesota | Other | HP48979 | UCARE MINNESOTA |
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