Individual
DR. PAUL KENDELL BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C, D.C.
Contact information
Practice address
1133 CALL PL STE A, POCATELLO, ID 83201-3076
(208) 232-1000
(208) 232-1006
Mailing address
PO BOX 4868, POCATELLO, ID 83205-4868
(208) 232-1000
(208) 232-1006
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
CHIA-901
ID
363LF0000X
Family Nurse Practitioner
Primary
NP-1325A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010027899
REGENCE BLUE SHIELD OF ID
ID
01
—
350052262
RAILROAD MEDICARE
ID
05
—
805681800
—
ID
01
—
820530992
TAX ID # FOR OTHER INS.
ID
01
—
C1658
BLUE CROSS OF IDAHO
ID
Enumeration date
06/04/2006
Last updated
09/03/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us