Provider Demographics
NPI:1891401139
Name:BOWAR, CLAIRE (RDN)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:BOWAR
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36779 BLUFFVIEW TER
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE DU CHIEN
Mailing Address - State:WI
Mailing Address - Zip Code:53821-9759
Mailing Address - Country:US
Mailing Address - Phone:608-412-3662
Mailing Address - Fax:
Practice Address - Street 1:36779 BLUFFVIEW TER
Practice Address - Street 2:
Practice Address - City:PRAIRIE DU CHIEN
Practice Address - State:WI
Practice Address - Zip Code:53821-9759
Practice Address - Country:US
Practice Address - Phone:608-412-3662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered