Cowan, Clifton M.

Cowan, Clifton M. is an individual health care provider with primary practice located at 1100 N. 5Th St. , Leesville LA 71446-3464. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Cowan, Clifton M. can be contacted via phone (337) 239-2020.

Contact Information

Primary practice address
1100 N. 5Th St. Leesville LA 71446-3464
Fax: (337) 239-0755
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 953-128T Louisiana

Profile Details

NPI number 1811980600
LBN Legal business name Cowan, Clifton M.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Oct 20th, 2008 - about 16 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 1811980600 NPPES
Louisiana MEDICAID 1342262

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