Mcgowan, Archie R

Mcgowan, Archie R is an individual health care provider with primary practice located at 333 Borthwick Ave , Portsmouth NH 03801-7128. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Mcgowan, Archie R can be contacted via phone (603) 433-4008.

Contact Information

Primary practice address
333 Borthwick Ave Portsmouth NH 03801-7128
Phone: (603) 433-4008
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 154492 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 11784 New Hampshire
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 154492 Massachusetts
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 11784 New Hampshire

Profile Details

NPI number 1235117169
LBN Legal business name Mcgowan, Archie R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Sep 25th, 2012 - about 12 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 1235117169 NPPES
New Hampshire MEDICAID 24246099

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