Mcgowan, John R
Mcgowan, John R is an sole proprietor health care provider with primary practice located at 3829 Church Rd , Mount Laurel NJ 08054-1105. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Mcgowan, John R can be contacted via phone (856) 222-0783.Contact Information
Primary practice address
3829 Church Rd
Mount Laurel NJ 08054-1105
Phone: (856) 222-0783
Fax: (856) 222-9714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 35S100302200 | New Jersey |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35S100302200 | New Jersey |
Profile Details
| NPI number | 1801991658 |
|---|---|
| LBN Legal business name | Mcgowan, John R |
| Credentials | PH. D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Apr 22nd, 2009 - about 17 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 | 1801991658 | NPPES |
| New Jersey | MEDICAID | 7791402 |
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