Provider Demographics
NPI:1366952483
Name:BOWEN, ARTHUR JAMES SR (MED)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:JAMES
Last Name:BOWEN
Suffix:SR
Gender:M
Credentials:MED
Other - Prefix:MR
Other - First Name:ARTHUR
Other - Middle Name:JAMES
Other - Last Name:BOWEN
Other - Suffix:SR
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:PO BOX 1271
Mailing Address - Street 2:
Mailing Address - City:SOUTH LANCASTER
Mailing Address - State:MA
Mailing Address - Zip Code:01561-1271
Mailing Address - Country:US
Mailing Address - Phone:978-660-7411
Mailing Address - Fax:
Practice Address - Street 1:38 FRONT ST FL 5
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1732
Practice Address - Country:US
Practice Address - Phone:508-756-5400
Practice Address - Fax:508-756-5433
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-03
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty