Mcdowell, Vesta D

Mcdowell, Vesta D is an sole proprietor health care provider with primary practice located at 14300 Gallant Fox Ln Ste 201 , Bowie MD 20715-4033. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Mcdowell, Vesta D can be contacted via phone (301) 352-7756.

Contact Information

Primary practice address
14300 Gallant Fox Ln Ste 201 Bowie MD 20715-4033
Phone: (301) 352-7756
Fax: (301) 352-7725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO415 District of Columbia
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X P29611 Maryland

Profile Details

NPI number 1639145147
LBN Legal business name Mcdowell, Vesta D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2006
Last updated Oct 31st, 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 1639145147 NPPES
Maryland MEDICAID 413635700
Maryland MEDICAID 010235300
Maryland Other 480007024

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