Broad, William Gowing
Broad, William Gowing is an sole proprietor health care provider with primary practice located at 15425 Los Gatos Blvd Ste 120 , Los Gatos CA 95032-2541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Broad, William Gowing can be contacted via phone (408) 340-5700.Contact Information
Primary practice address
15425 Los Gatos Blvd Ste 120
Los Gatos CA 95032-2541
Phone: (408) 340-5700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G67157 | California |
Profile Details
| NPI number | 1750374591 |
|---|---|
| LBN Legal business name | Broad, William Gowing |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Oct 17th, 2022 - about 2 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 | 1750374591 | NPPES |
| Other | 00G671570 | MCR UPIN |
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