Charles-Cowan, Tricia Grace

Charles-Cowan, Tricia Grace is an individual health care provider with primary practice located at 3989 W Stetson Ave Ste 202 , Hemet CA 92545-9697. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Charles-Cowan, Tricia Grace can be contacted via phone (951) 652-3558.

Contact Information

Primary practice address
3989 W Stetson Ave Ste 202 Hemet CA 92545-9697
Phone: (951) 652-3558
Fax: (951) 652-5547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 20A14022 California

Profile Details

NPI number 1649526088
LBN Legal business name Charles-Cowan, Tricia Grace
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2012
Last updated Jul 29th, 2021 - about 4 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 1649526088 NPPES
California MEDICAID CA249622

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