Provider Demographics
NPI:1578147310
Name:DOWNING, BOBBY JOE (NCPT)
Entity Type:Individual
Prefix:
First Name:BOBBY
Middle Name:JOE
Last Name:DOWNING
Suffix:
Gender:M
Credentials:NCPT
Other - Prefix:
Other - First Name:BOBBY
Other - Middle Name:JOE
Other - Last Name:HOFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:331 CROWLEY RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-3879
Mailing Address - Country:US
Mailing Address - Phone:614-558-3681
Mailing Address - Fax:
Practice Address - Street 1:331 CROWLEY RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-3879
Practice Address - Country:US
Practice Address - Phone:614-654-2021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
10502-161-644-3307246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty