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
Fax: (218) 847-1678
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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