Mowery, Deborah Thoren
Mowery, Deborah Thoren is an individual health care provider with primary practice located at 1160 Van Voorhis Rd , Morgantown WV 26505-3437. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Mowery, Deborah Thoren can be contacted via phone (304) 554-9494.Contact Information
Primary practice address
1160 Van Voorhis Rd
Morgantown WV 26505-3437
Phone: (304) 554-9494
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 29759 | West Virginia |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 0101045890 | Virginia |
Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 0101045890 | Virginia |
Profile Details
NPI number | 1013993047 |
---|---|
LBN Legal business name | Mowery, Deborah Thoren |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 21st, 2005 |
Last updated | Sep 24th, 2021 - about 3 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 | 1013993047 | NPPES |
Other | 216786 | ANTHEM | |
MEDICAID | 006800165 | ANTHEM | |
MEDICAID | 1013993047 | ANTHEM | |
Other | 250012231 | ANTHEM |
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