Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1023476736 |
---|---|
Provider Name | James Bowman |
First Address | Stevens Point, WI 54481-6417 |
Second Address | Stevens Point, WI 54481-6417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2016 |
Last Update Date | 09/02/2016 |