Jay E. Cowan, D.D.S. Professional Services Corporation
LBN: Jay E. Cowan, D.D.S. Professional Services Corporation
Jay E. Cowan, D.D.S. Professional Services Corporation is an health care organization with primary practice located at 9602 E Washington St , Indianapolis IN 46229-4504. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Jay E. Cowan, D.D.S. Professional Services Corporation can be contacted via phone (317) 536-0748, or through Cowan, Jay E. via phone (317) 536-0748.
Contact Information
Primary practice address
9602 E Washington St
Indianapolis IN 46229-4504
Phone: (317) 536-0748
Fax: (317) 536-0721
Website:
Authorized official contact:
Name: Cowan, Jay E. Doctor of Dental Surgery (DDS)
Phone: (317) 536-0748
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12009344A | Indiana |
Profile Details
| NPI number | 1134386386 |
|---|---|
| LBN Legal business name | Jay E. Cowan, D.D.S. Professional Services Corporation |
| DBA Doing business as | |
| Authorized official | Cowan, Jay E. Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 16th, 2008 |
| Last updated | Dec 3rd, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134386386 | NPPES |
| Indiana | MEDICAID | 200044690 | |
| Indiana | MEDICAID | 300032016 |
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