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Contact Information

JOHN BOWEN
1904 JENNIE LEE DR
IDAHO FALLS, ID83404-6159
 Phone: 208-974-5200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for JOHN BOWEN · (Male)

NPI # 1841149051
Status Active
Credentials
Entity Individual
Enumeration date 01/22/2026
Last updated 01/22/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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