Bowman, Phyllis Irene
Bowman, Phyllis Irene is an individual health care provider with primary practice located at 10921 Reed Hartman Hwy Ste 104G , Blue Ash OH 45242-2851. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bowman, Phyllis Irene can be contacted via phone (513) 551-7664.Contact Information
Primary practice address
10921 Reed Hartman Hwy Ste 104G
Blue Ash OH 45242-2851
Phone: (513) 551-7664
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1201300 | Ohio |
Profile Details
| NPI number | 1770806499 |
|---|---|
| LBN Legal business name | Bowman, Phyllis Irene |
| Credentials | MSW, LISW-S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2010 |
| Last updated | Oct 3rd, 2019 - about 6 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 | 1770806499 | NPPES |
| Ohio | MEDICAID | 0155000 | |
| Ohio | Other | 12639231 |
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