Cowley, Larry A

Cowley, Larry A is an individual health care provider with primary practice located at 106 Wadsworth St , Radford VA 24141-1439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Cowley, Larry A can be contacted via phone (540) 639-9023.

Contact Information

Primary practice address
106 Wadsworth St Radford VA 24141-1439
Phone: (540) 639-9023
Fax: (540) 639-5463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101038901 Virginia

Profile Details

NPI number 1427061878
LBN Legal business name Cowley, Larry A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jan 5th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427061878 NPPES
Virginia Other 01201038901 STATE LICENSE
Virginia Other 075730 STATE LICENSE
Virginia Other 5757016 STATE LICENSE
Virginia MEDICAID 006580271 STATE LICENSE

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