Jamey Ray Bowles
Individual provider Active NPI Counselor · Duncan, OK
NPI 1235480757 · NPPES record last updated Sep 24, 2012
Key facts
- NPI
- 1235480757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1010 Oakview Dr
Duncan, OK 73533-1152 - Phone
- (580) 467-8376
- NPI assigned
- Sep 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1010 Oakview Dr
Duncan, OK 73533-1152
Mailing address
1010 Oakview Dr
Duncan, OK 73533-1152
Phone (580) 467-8376
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871717900 | Other | OK | YOUTH SERVICES |
Other providers in Duncan, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.