Bowman, Jonathan Craig

Bowman, Jonathan Craig is an individual health care provider with primary practice located at 355 N Main St , Kanab UT 84741-3260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bowman, Jonathan Craig can be contacted via phone (435) 644-4100.

Contact Information

Primary practice address
355 N Main St Kanab UT 84741-3260
Phone: (435) 644-4100
Fax: (435) 644-3366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5349812 Utah

Profile Details

NPI number 1619047362
LBN Legal business name Bowman, Jonathan Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Nov 27th, 2023 - about 2 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 1619047362 NPPES
Utah Other 107023013101 SELECT HEALTH
Utah MEDICAID D5247 SELECT HEALTH
Utah Other 53498121200001 SELECT HEALTH

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