Cowan, Larry Ira

Cowan, Larry Ira is an individual health care provider with primary practice located at 41 Foster Dr , Thornville OH 43076-8010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Cowan, Larry Ira can be contacted via phone (740) 246-6361.

Contact Information

Primary practice address
41 Foster Dr Thornville OH 43076-8010
Phone: (740) 246-6361
Fax: (740) 246-4722
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 34.003340 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34006965 Ohio

Profile Details

NPI number 1023002011
LBN Legal business name Cowan, Larry Ira
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Dec 31st, 2019 - about 5 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 1023002011 NPPES
Ohio MEDICAID 0492024

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