Provider Demographics
NPI:1205192762
Name:BOWER, CINDY L
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:L
Last Name:BOWER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 LINWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-4831
Mailing Address - Country:US
Mailing Address - Phone:330-581-1297
Mailing Address - Fax:
Practice Address - Street 1:410 LINWOOD DR
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4831
Practice Address - Country:US
Practice Address - Phone:330-581-1297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2866493OtherINDEPENDENT PROVIDER