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Contact Information

LISA BOWELL, ARRT(R)(N), CNMT
1640 W. REDSTONE CENTER DR. SUITE 200
SUPPLEMENTAL HEALTH CARE
PARK CITY, UT84098-7607
 Phone: 888-800-8744
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Medicine Technology Radiologic Technologist

2471N0900X
 

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for LISA BOWELL · (Female)

NPI Number 1164796272
Status Active
Credentials ARRT(R)(N), CNMT
Entity Individual
Enumeration date 03/07/2012
Last updated 03/07/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # RHN 2781
  • CA License # RHT00085290
  • MA License # 17243
  • NM License # NMT 00522
  • NM License # RRT 04403
  • RI License # NMT00221
  • WA License # RT 60019537
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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