Healthcare Provider Details

I. General information

NPI: 1326732645
Provider Name (Legal Business Name): BRITTANY ANN BOWLES MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY ANN SEIBERT

II. Dates (important events)

Enumeration Date: 06/08/2023
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 MEDIC WAY
GREENCASTLE IN
46135-2296
US

IV. Provider business mailing address

308 MEDIC WAY
GREENCASTLE IN
46135-2296
US

V. Phone/Fax

Practice location:
  • Phone: 888-714-1927
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number99118970A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: