Gowen, Michael Patrick

Gowen, Michael Patrick is an individual health care provider with primary practice located at 1870 Reservoir St , Harrisonburg VA 22801-8742. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gowen, Michael Patrick can be contacted via phone (540) 434-6622.

Contact Information

Primary practice address
1870 Reservoir St Harrisonburg VA 22801-8742
Phone: (540) 434-6622
Fax: (540) 434-4187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000690 Virginia

Profile Details

NPI number 1831170026
LBN Legal business name Gowen, Michael Patrick
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jan 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831170026 NPPES
Virginia MEDICAID 1831170026

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