Provider Demographics
NPI:1073825410
Name:BOWER, DENNIS CHARLES (REGISTERED NURSE)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:CHARLES
Last Name:BOWER
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 1095
Mailing Address - Street 2:
Mailing Address - City:HARDIN
Mailing Address - State:MT
Mailing Address - Zip Code:59034-9713
Mailing Address - Country:US
Mailing Address - Phone:406-665-2735
Mailing Address - Fax:
Practice Address - Street 1:RR 1 BOX 1095
Practice Address - Street 2:
Practice Address - City:HARDIN
Practice Address - State:MT
Practice Address - Zip Code:59034-9713
Practice Address - Country:US
Practice Address - Phone:406-665-2735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO115735163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse