Bowman, Michael Keith

Bowman, Michael Keith is an individual health care provider with primary practice located at 614 E Main St , Radford VA 24141-1818. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Bowman, Michael Keith can be contacted via phone (540) 633-0776.

Contact Information

Primary practice address
614 E Main St Radford VA 24141-1818
Phone: (540) 633-0776
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25791 Alabama
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101259607 Virginia

Profile Details

NPI number 1376510073
LBN Legal business name Bowman, Michael Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jan 4th, 2022 - 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 1376510073 NPPES
Virginia MEDICAID 0101259607

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