Mr Jachob Bradley Bowlin, MBA, MSN, CRNA | |
770 Hancock Ave, Corbin, KY 40701-2545 | |
(606) 765-2896 | |
Not Available |
Full Name | Mr Jachob Bradley Bowlin |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 770 Hancock Ave, Corbin, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1821605767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 3018828 (Kentucky) | Primary |
Entity Name | Commonwealth Anesthesia, Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437196300 PECOS PAC ID: 5092627521 Enrollment ID: O20031104000115 |
Entity Name | Capital Anesthesia Solutions Of Kentucky Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023665882 PECOS PAC ID: 0446681548 Enrollment ID: O20200505001112 |
Mailing Address | Practice Location Address |
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Mr Jachob Bradley Bowlin, MBA, MSN, CRNA 4216 Somerset Rd, London, KY 40741-9615 Ph: (606) 765-7759 | Mr Jachob Bradley Bowlin, MBA, MSN, CRNA 770 Hancock Ave, Corbin, KY 40701-2545 Ph: (606) 765-2896 |
Benjamin C Foster, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
Corissa L. Stovall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
Edward M Hoffner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Trillium Way Ste 205, Corbin, KY 40701 Phone: 606-523-2140 Fax: 606-523-2547 | |
Jeffrey L Cunningham, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 275 Highway 770, Corbin, KY 40701 Phone: 606-526-7874 | |
Lisa K Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
Jaime I. Davenport, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
Mrs. Iris A Horton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 275 Hwy 770, Corbin, KY 40701 Phone: 865-777-0909 Fax: 865-777-0910 |