Mcgowan, Donald D

Mcgowan, Donald D is an sole proprietor health care provider with primary practice located at 3015 Mishawaka Ave , South Bend IN 46615-2347. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mcgowan, Donald D can be contacted via phone (574) 288-8200.

Contact Information

Primary practice address
3015 Mishawaka Ave South Bend IN 46615-2347
Phone: (574) 288-8200
Fax: (574) 288-8226
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000684 Indiana

Profile Details

NPI number 1629157680
LBN Legal business name Mcgowan, Donald D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
Last updated Nov 19th, 2012 - about 13 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 1629157680 NPPES
Indiana Other 1629157680 NPI
Indiana Other 000000088330 NPI
Indiana MEDICAID 100091280A NPI
Indiana Other 1932389244 NPI
Indiana Other M300056628 NPI

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