Provider Demographics
NPI:1154763704
Name:BOWEN GROUP FOUNDATION
Entity type:Organization
Organization Name:BOWEN GROUP FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKOL
Authorized Official - Middle Name:V
Authorized Official - Last Name:BOWEN
Authorized Official - Suffix:
Authorized Official - Credentials:PC
Authorized Official - Phone:614-397-7846
Mailing Address - Street 1:1157 WHITNEY LN
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-3688
Mailing Address - Country:US
Mailing Address - Phone:614-397-7846
Mailing Address - Fax:
Practice Address - Street 1:1157 WHITNEY LN
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-3688
Practice Address - Country:US
Practice Address - Phone:614-397-7846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRR026042343900000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)