Provider Demographics
NPI:1326486606
Name:BOWMAN, RODNEY DION (LPN)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:DION
Last Name:BOWMAN
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 456
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45697-0456
Mailing Address - Country:US
Mailing Address - Phone:937-728-7843
Mailing Address - Fax:937-695-0073
Practice Address - Street 1:2253 TRI COUNTY RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:45697-0456
Practice Address - Country:US
Practice Address - Phone:937-728-7843
Practice Address - Fax:937-695-0073
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-10
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.143234-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse