Earle Eugene Bowers

Individual provider Active NPI Transportation Broker · Galax, VA

NPI 1972245264 · NPPES record last updated Apr 8, 2022

Key facts

NPI
1972245264
Entity type
Individual (NPI type 1)
Primary specialty
Transportation Broker 347E00000X
Practice address
70 Terri LN
Galax, VA 24333-4714
Phone
(276) 235-1501
NPI assigned
Apr 8, 2022
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)CodeLicenseStatePrimary
Transportation Broker 347E00000X Yes

Addresses

Primary practice location

70 Terri LN
Galax, VA 24333-4714

Mailing address

70 Terri LN
Galax, VA 24333-4714
Phone (276) 235-1501

Other providers in Galax, VA

All providers in Galax, VA · Transportation Broker in Virginia

Sources for this page

Verify at the official NPI Registry.