Mcgowan, Randy T,.
Mcgowan, Randy T,. is an sole proprietor health care provider with primary practice located at 80 Locust Ave , Amsterdam NY 12010-2623. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Mcgowan, Randy T,. can be contacted via phone (519) 843-0382.Contact Information
Primary practice address
80 Locust Ave
Amsterdam NY 12010-2623
Phone: (519) 843-0382
Fax: (518) 843-0355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 037120 | New York |
Profile Details
| NPI number | 1285841627 |
|---|---|
| LBN Legal business name | Mcgowan, Randy T,. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285841627 | NPPES |
| New York | MEDICAID | 01468464 |
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