Healthcare Provider Details

I. General information

NPI: 1104788124
Provider Name (Legal Business Name): OIOBOW HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2025
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5091 E JACKSON ST
MUNCIE IN
47303-4486
US

IV. Provider business mailing address

5091 E JACKSON ST
MUNCIE IN
47303-4486
US

V. Phone/Fax

Practice location:
  • Phone: 765-468-6337
  • Fax: 765-896-8186
Mailing address:
  • Phone: 765-468-6337
  • Fax: 765-896-8186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. CURTIS OLIVER BOW JR.
Title or Position: MEMBER
Credential: NP
Phone: 765-468-6337