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Contact Information

RICKY D BOWLIN, MD LLC
130 WEST MARTZ STREET
SUITE 3
GREENVILLE, OH45331
 Phone: 937-548-5114
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RICKY D BOWLIN, MD LLC

NPI Number 1902023559
LBN Legal business name RICKY D BOWLIN, MD LLC
Authorized official RICKY BOWLIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2007
Last updated 06/28/2010 - About 16 years ago
Identifiers
OH License # 35066556
OH Medicaid 2208211
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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