Healthcare Provider Details

I. General information

NPI: 1053658666
Provider Name (Legal Business Name): REED C BOWERS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2013
Last Update Date: 01/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 CYPRESS LN NW
STRASBURG OH
44680-9509
US

IV. Provider business mailing address

1011 CYPRESS LN NW
STRASBURG OH
44680-9509
US

V. Phone/Fax

Practice location:
  • Phone: 330-221-9935
  • Fax:
Mailing address:
  • Phone: 330-221-9935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: