Doctor Name: | MR. PAUL M ROWAN |
NPI Number: | 1518194844 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 803 Highway 45 S Baldwyn, MS - 388248587 |
Business Phone Number: | 6623659852 |
Business Fax Number: | 6623659851 |
Mailing Address: | 803 Highway 45 S, BALDWYN |
State: | MS |
Postal Code: | 388248587 |
Phone Number: | 6623659852 |
Fax Number: | 6623659851 |
NPI Enumeration Date: | 06/13/2009 |
NPI Last Update Date: | 06/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225CA2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Counselor |
Taxonomy Specialization: | Assistive Technology Supplier |
Taxonomy Definition: |