Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | C10001695 | DE |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | C10001695 | DE |
N | 207XS0117X | Orthopaedic Spine Surgeon | C10001695 | DE |
NPI | 1578654844 |
---|---|
Provider Name | Dr. J. Richard Bowen |
First Address | Rockland, DE 19723-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 08/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001197528 | (05) | PA |
01427825 | (05) | NY |
050991 | (05) | IA |
3451471 | (05) | VA |
7612867 | (05) | NC |
7707517 | (05) | MD |
F04110 | (02) |