Carliss Bowie
Individual provider Active NPI Driver · Middletown, NJ
NPI 1265145254 · NPPES record last updated Jan 4, 2023
Key facts
- NPI
- 1265145254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 11 Van Brunt PL
Middletown, NJ 07748 - Phone
- (347) 965-4132
- NPI assigned
- Jan 4, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
11 Van Brunt PL
Middletown, NJ 07748
Mailing address
PO Box 267
Belford, NJ 07718-0267
Phone (347) 965-4132
Other providers in Middletown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2023. 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.