Rodney Dion Bowman, LPN

Individual provider Active NPI Licensed Practical Nurse · Winchester, OH

NPI 1326486606 · NPPES record last updated Jun 10, 2013

Key facts

NPI
1326486606
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN.143234-M-IV (OH)
Practice address
2253 Tri County Rd
Winchester, OH 45697-0456
Phone
(937) 728-7843
Fax
(937) 695-0073
NPI assigned
Jun 10, 2013
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

State licenses

LicenseStateTypeSpecialty
PN.143234-M-IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.143234-M-IV OH Yes

Addresses

Primary practice location

2253 Tri County Rd
Winchester, OH 45697-0456

Mailing address

PO Box 456
Winchester, OH 45697-0456
Phone (937) 728-7843

Other providers in Winchester, OH

All providers in Winchester, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.