Harry J Bowkley

Individual provider Active NPI Case Manager/Care Coordinator · Yucca Valley, CA

NPI 1386960656 · NPPES record last updated Apr 12, 2010

Key facts

NPI
1386960656
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
55475 Santa Fe TRL
Yucca Valley, CA 92284-3117
Phone
(760) 365-3022
NPI assigned
Apr 12, 2010
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

55475 Santa Fe TRL
Yucca Valley, CA 92284-3117

Mailing address

55475 Santa Fe TRL
Yucca Valley, CA 92284-3117

Other providers in Yucca Valley, CA

All providers in Yucca Valley, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.