Provider Demographics
NPI:1134280720
Name:BOWMAN, VAUGHN (ND)
Entity Type:Individual
Prefix:DR
First Name:VAUGHN
Middle Name:
Last Name:BOWMAN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 RUDOLF LN
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-2210
Mailing Address - Country:US
Mailing Address - Phone:203-750-0853
Mailing Address - Fax:
Practice Address - Street 1:6 RUDOLF LN
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-2210
Practice Address - Country:US
Practice Address - Phone:203-750-0853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000210175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath