Bowman, John Wilson
Bowman, John Wilson is an individual health care provider with primary practice located at 11414 W Park Pl Ste 300, Milwaukee WI 53224-3500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Bowman, John Wilson can be contacted via phone (242) 385-4376.Contact Information
Primary practice address
11414 W Park Pl Ste 300
Milwaukee WI 53224-3500
Phone: (242) 385-4376
Fax: (414) 755-7384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 16094 | Wisconsin |
Profile Details
| NPI number | 1285727453 |
|---|---|
| LBN Legal business name | Bowman, John Wilson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Dec 14th, 2016 - about 8 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 | 1285727453 | NPPES |
| Wisconsin | MEDICAID | 30886900 |
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