Provider Demographics
NPI:1447977632
Name:BOWMAN, DONALD RICHARD
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:RICHARD
Last Name:BOWMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2259 TRI COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45697-9419
Mailing Address - Country:US
Mailing Address - Phone:937-725-8591
Mailing Address - Fax:
Practice Address - Street 1:2259 TRI COUNTY RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:45697-9419
Practice Address - Country:US
Practice Address - Phone:937-725-8591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide