Victor Michael Bowe
Individual provider Active NPI Driver · Hampton, VA
NPI 1265928808 · NPPES record last updated Jul 6, 2018
Key facts
- NPI
- 1265928808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- T62119857 (VA)
- Practice address
- 3 Evergreen PL
Hampton, VA 23666-2178 - Phone
- (757) 353-9772
- Fax
- (757) 301-2239
- NPI assigned
- Jul 6, 2018
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T62119857 | VA | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | T62119857 | VA | Yes |
Addresses
Primary practice location
3 Evergreen PL
Hampton, VA 23666-2178
Mailing address
3 Evergreen PL
Hampton, VA 23666-2178
Phone (757) 353-9772
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Other | NY | 00000 |
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2018. 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.