NPI 1073260519

Michael Shane Bowling, BOCOBOCP

Practitioner Prosthetist Baton Rouge, LA

Practice location

Address: 5412 Dijon Dr, Baton Rouge, LA 70808-4315
Phone: (225) 615-8693
Fax: (888) 544-6008
Mailing address: 631 County Road 837, Boaz, AL 35957-8154

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence C46945 (AL)

Other Prosthetist providers in Louisiana →

Registry record

NPI: 1073260519
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Mar 2022
Record last updated: 3 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.