Provider Demographics
NPI:1457453037
Name:BOWEN, JOSEPH ANTHONY (HEALTH TECHNICIAN)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:BOWEN
Suffix:
Gender:M
Credentials:HEALTH TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1626B MACARTHUR CT
Mailing Address - Street 2:
Mailing Address - City:ROCK ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61201-9146
Mailing Address - Country:US
Mailing Address - Phone:813-220-3059
Mailing Address - Fax:
Practice Address - Street 1:218 ROCK ISLAND AVE
Practice Address - Street 2:
Practice Address - City:ROCK ISLAND
Practice Address - State:IL
Practice Address - Zip Code:61299-0001
Practice Address - Country:US
Practice Address - Phone:309-782-0627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other