Gowen, Lance M
Gowen, Lance M is an individual health care provider with primary practice located at 515 Rivercrossing Dr Ste 180 , Fort Mill SC 29715-7900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gowen, Lance M can be contacted via phone (803) 547-7541.Contact Information
Primary practice address
515 Rivercrossing Dr Ste 180
Fort Mill SC 29715-7900
Phone: (803) 547-7541
Fax: (803) 548-0122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15208 | Nebraska |
Profile Details
| NPI number | 1114999737 |
|---|---|
| LBN Legal business name | Gowen, Lance M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1114999737 | NPPES |
| Nebraska | MEDICAID | 47065527613 |
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