Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 12630 | OH |
Y | 111NI0013X | Independent Medical Examiner | 12630 | OH |
NPI | 1861696940 |
---|---|
Provider Name | Dr. Thomas Edward Bowers I |
First Address | Navarre, OH 44662-1201 |
Second Address | Navarre, OH 44662-1201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 19/12/2019 |