1497943542 NPI number — MS. LINDA SUE BOWERS C.F.N.P.

Table of content: MS. LINDA SUE BOWERS C.F.N.P. (NPI 1497943542)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497943542 NPI number — MS. LINDA SUE BOWERS C.F.N.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BOWERS
Provider First Name:
LINDA
Provider Middle Name:
SUE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
C.F.N.P.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ABENT
Provider Other First Name:
LINDA
Provider Other Middle Name:
SUE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1497943542
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/17/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12805 ESCANABA DR
Provider Second Line Business Mailing Address:
SUITE 2
Provider Business Mailing Address City Name:
DEWITT
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48820-8628
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
517-975-9750
Provider Business Mailing Address Fax Number:
517-975-9777

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12805 ESCANABA DR
Provider Second Line Business Practice Location Address:
SUITE 2
Provider Business Practice Location Address City Name:
DEWITT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48820-8628
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-975-9750
Provider Business Practice Location Address Fax Number:
517-975-9777
Provider Enumeration Date:
10/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  4704127217 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com