Gowan, Ivan Darius

Gowan, Ivan Darius is an individual health care provider with primary practice located at 85 College St , Hamilton NY 13346-1227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Gowan, Ivan Darius can be contacted via phone (315) 824-1250.

Contact Information

Primary practice address
85 College St Hamilton NY 13346-1227
Phone: (315) 824-1250
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 153105 New York

Profile Details

NPI number 1235198490
LBN Legal business name Gowan, Ivan Darius
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Sep 14th, 2007 - about 18 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 1235198490 NPPES
New York MEDICAID 00842957

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