Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nursing Facility Supplies |
332BN1400X | 87 | All Other Suppliers |
| NPI # | 1871817122 |
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| LBN Legal business name | JOHN BOWMAN DBA/CHOICE MEDICAL SUPPLY | ||||
| Authorized official | JOHN BOWMAN - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/16/2010 | ||||
| Last updated | 03/01/2011 - About 15 years ago | ||||
| Identifiers |
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