Organization
BOWERS MOBILITY SALES & REPAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE ALLAN BOWERS (OWNER)
(304) 676-5463
Entity
Organization
Contact information
Practice address
1512 WINCHESTER AVE, MARTINSBURG, WV 25401-5025
(304) 596-2361
Mailing address
1512 WINCHESTER AVE, MARTINSBURG, WV 25401-5025
(304) 596-2361
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
791086
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001979878
BLUE CROSS BLUE SHIELD
WV
05
—
3810009126
—
WV
Enumeration date
01/11/2007
Last updated
10/31/2007
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