Bowman, Jonathan Leslie
Bowman, Jonathan Leslie is an individual health care provider with primary practice located at 223 16Th Avenue North , Nampa ID 83653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bowman, Jonathan Leslie can be contacted via phone (208) 466-7869.Contact Information
Primary practice address
223 16Th Avenue North
Nampa ID 83653
Phone: (208) 466-7869
Fax: (208) 466-5359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M5742 | Idaho |
Profile Details
| NPI number | 1497703169 |
|---|---|
| LBN Legal business name | Bowman, Jonathan Leslie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Apr 7th, 2014 - about 10 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 | 1497703169 | NPPES |
| Idaho | MEDICAID | 1497703169 |
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