Gowen, Marilyn A.

Gowen, Marilyn A. is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is her primary health care specialty. Gowen, Marilyn A. can be contacted via phone (757) 668-7426.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1910
Phone: (757) 668-7426
Fax: (757) 668-7784
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 0101045398 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101045398 Virginia

Profile Details

NPI number 1053361683
LBN Legal business name Gowen, Marilyn A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Dec 9th, 2009 - about 15 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 1053361683 NPPES
Maryland MEDICAID 109921300
Maryland MEDICAID 890540I
Maryland MEDICAID 0000975001
Maryland MEDICAID 006722067
Maryland MEDICAID 6700074000
Maryland MEDICAID 0018725450001

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