Powless, Cecelia A

Powless, Cecelia A is an individual health care provider with primary practice located at 3510 S Lafountain St , Kokomo IN 46902-3803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Powless, Cecelia A can be contacted via phone (765) 864-8765.

Contact Information

Primary practice address
3510 S Lafountain St Kokomo IN 46902-3803
Phone: (765) 864-8765
Fax: (765) 864-8762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01066978A Indiana

Profile Details

NPI number 1093727620
LBN Legal business name Powless, Cecelia A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Nov 27th, 2023 - about 2 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 1093727620 NPPES
Indiana Other P01270925 RR MEDICARE
Indiana MEDICAID 739698000 RR MEDICARE
Indiana MEDICAID 200947320 RR MEDICARE

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