Cowart, Randy Gene
Cowart, Randy Gene is an individual health care provider with primary practice located at 1350 Cedar Ct , Carbondale IL 62901-5336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Cowart, Randy Gene can be contacted via phone (618) 529-2955.Contact Information
Primary practice address
1350 Cedar Ct
Carbondale IL 62901-5336
Phone: (618) 529-2955
Fax: (618) 457-7823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036-085906 | Illinois |
Profile Details
| NPI number | 1780682732 |
|---|---|
| LBN Legal business name | Cowart, Randy Gene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Feb 17th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780682732 | NPPES |
| Illinois | MEDICAID | 36-085906 |
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