Dowden, Lawrence
Dowden, Lawrence is an individual health care provider with primary practice located at 2200 Fort Jesse Rd , Normal IL 61761-6286. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dowden, Lawrence can be contacted via phone (309) 661-6270.Contact Information
Primary practice address
2200 Fort Jesse Rd
Normal IL 61761-6286
Phone: (309) 661-6270
Fax: (309) 661-6281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-054807 | Illinois |
Profile Details
| NPI number | 1740380385 |
|---|---|
| LBN Legal business name | Dowden, Lawrence |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Aug 30th, 2010 - about 14 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 | 1740380385 | NPPES |
| Illinois | Other | 833230 | MEDICARE GROUP # |
| Illinois | MEDICAID | 036054807 | MEDICARE GROUP # |
| Illinois | Other | R00963 | MEDICARE GROUP # |
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