Bowman, Kim Elise

Bowman, Kim Elise is an individual health care provider with primary practice located at 1180 Beacon St Suite 3B, Brookline MA 02446-3885. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Bowman, Kim Elise can be contacted via phone (617) 566-5600.

Contact Information

Primary practice address
1180 Beacon St Suite 3B Brookline MA 02446-3885
Phone: (617) 566-5600
Fax: (617) 277-3745
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 45580 Massachusetts

Profile Details

NPI number 1225075542
LBN Legal business name Bowman, Kim Elise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Feb 22nd, 2020 - about 4 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 1225075542 NPPES
Other B10226701 CIGNA
MEDICAID 0195855 CIGNA
Other 755268 CIGNA
Other 0092071 CIGNA
Other 6849 CIGNA
Other BOB30163 CIGNA
Other 468590 CIGNA
Other 110229079 CIGNA

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