Bowman, John Theodore
Bowman, John Theodore is an individual health care provider with primary practice located at 1 Ridgewood Dr , Bangor ME 04401-2652. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Bowman, John Theodore can be contacted via phone (207) 945-6200.Contact Information
Primary practice address
1 Ridgewood Dr
Bangor ME 04401-2652
Phone: (207) 945-6200
Fax: (207) 990-3015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | E-12105 | Arkansas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | EL-05-010 | Maine |
Profile Details
| NPI number | 1396731006 |
|---|---|
| LBN Legal business name | Bowman, John Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | May 16th, 2022 - about 3 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 | 1396731006 | NPPES |
| Other | 11501881 | CAQH |
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