Cowap, Charles Richardson

Cowap, Charles Richardson is an individual health care provider with primary practice located at 14519 Detroit Ave , Lakewood OH 44107-4316. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Cowap, Charles Richardson can be contacted via phone (216) 521-4200.

Contact Information

Primary practice address
14519 Detroit Ave Lakewood OH 44107-4316
Phone: (216) 521-4200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35081096C Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35081096 Ohio

Profile Details

NPI number 1265489926
LBN Legal business name Cowap, Charles Richardson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated May 7th, 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 1265489926 NPPES
Ohio Other 000000380937 ANTHEM BC/BS
Ohio MEDICAID 2373239 ANTHEM BC/BS
Ohio Other 341542312098 ANTHEM BC/BS
Ohio Other 378646 ANTHEM BC/BS

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