Gowen, Clarence W.

Gowen, Clarence W. is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Gowen, Clarence W. can be contacted via phone (757) 668-7757.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1910
Phone: (757) 668-7757
Fax: (757) 668-9255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101045565 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101045565 Virginia
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 0101045565 Virginia

Profile Details

NPI number 1376593996
LBN Legal business name Gowen, Clarence W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jun 26th, 2023 - about last year

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 1376593996 NPPES
Pennsylvania MEDICAID 0018389820001
Pennsylvania MEDICAID 117911000
Pennsylvania MEDICAID 0000931701
Pennsylvania MEDICAID 006722237
Pennsylvania MEDICAID 1802346000
Pennsylvania MEDICAID 890593N

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