Organization
COMMONWEALTH HEALTH CORPORATION, INC
Active
Other names
BOWLING GREEN NEUROSURGICAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD G. SOWELL (EXECUTIVE VICE PRESIDENT)
(270) 745-1500
Entity
Organization
Contact information
Practice address
825 2ND AVE, SUITE C3, BOWLING GREEN, KY 42101-1786
(270) 780-2660
(270) 780-2692
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 745-1100
(270) 745-1156
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
KY
363LF0000X
Family Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65931776
—
KY
Enumeration date
06/20/2011
Last updated
12/08/2015
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