Cowart, James Darrell

Cowart, James Darrell is an sole proprietor health care provider with primary practice located at 5100 Lovers Ln Trestlewood, Bldg. D, Portage MI 49002-1558. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Cowart, James Darrell can be contacted via phone (269) 342-8847.

Contact Information

Primary practice address
5100 Lovers Ln Trestlewood, Bldg. D Portage MI 49002-1558
Fax: (269) 388-2346
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301006209 Michigan

Profile Details

NPI number 1598746778
LBN Legal business name Cowart, James Darrell
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2005
Last updated Jul 8th, 2007 - about 17 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 1598746778 NPPES
Other 11274166 CAQHPROVIDER ID

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