Cowan, Larry Ira
Cowan, Larry Ira is an individual health care provider with primary practice located at 41 Foster Dr , Thornville OH 43076-8010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Cowan, Larry Ira can be contacted via phone (740) 246-6361.Contact Information
Primary practice address
41 Foster Dr
Thornville OH 43076-8010
Phone: (740) 246-6361
Fax: (740) 246-4722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 34.003340 | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34006965 | Ohio |
Profile Details
| NPI number | 1023002011 |
|---|---|
| LBN Legal business name | Cowan, Larry Ira |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Dec 31st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023002011 | NPPES |
| Ohio | MEDICAID | 0492024 |
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