Provider Demographics
NPI:1033764287
Name:BOWYER AUDIOLOGY
Entity Type:Organization
Organization Name:BOWYER AUDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWYER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:440-774-5819
Mailing Address - Street 1:224 W LORAIN ST STE D
Mailing Address - Street 2:
Mailing Address - City:OBERLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44074-1087
Mailing Address - Country:US
Mailing Address - Phone:440-774-5819
Mailing Address - Fax:
Practice Address - Street 1:224 W LORAIN ST STE D
Practice Address - Street 2:
Practice Address - City:OBERLIN
Practice Address - State:OH
Practice Address - Zip Code:44074-1087
Practice Address - Country:US
Practice Address - Phone:440-774-5819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty