Stowell, Michael Jay

Stowell, Michael Jay is an individual health care provider with primary practice located at 1010 W 2Nd St , Bloomington IN 47403-2217. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Stowell, Michael Jay can be contacted via phone (812) 334-3955.

Contact Information

Primary practice address
1010 W 2Nd St Bloomington IN 47403-2217
Phone: (812) 334-3955
Fax: (812) 334-5792
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01044682A Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01044682A Indiana

Profile Details

NPI number 1790760536
LBN Legal business name Stowell, Michael Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jun 8th, 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 1790760536 NPPES
Indiana Other 163460045 MEDICARE PTAN
Indiana MEDICAID 200086880 MEDICARE PTAN
Indiana Other 090540031 MEDICARE PTAN

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