Provider Demographics
NPI:1528555695
Name:MCDOWELL-CARTER, BOBBY J (HAIRREPLACEMENT SPEC)
Entity Type:Individual
Prefix:
First Name:BOBBY
Middle Name:J
Last Name:MCDOWELL-CARTER
Suffix:
Gender:F
Credentials:HAIRREPLACEMENT SPEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5110 19TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-1950
Mailing Address - Country:US
Mailing Address - Phone:206-762-6666
Mailing Address - Fax:
Practice Address - Street 1:5110 19TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1950
Practice Address - Country:US
Practice Address - Phone:206-762-6666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-15
Last Update Date:2018-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management