Thomas A Kowal
General Practice Physician
228 W Main St Ste B
Lebanon
, Tennessee 37087-2681
Thomas A Kowal
General Practice Physician
228 W Main St Ste B
Lebanon
, Tennessee 37087-2681
(615) 784-4623
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Thomas A Kowal
- 228 W Main St Ste B
- Lebanon, TN
- Zip : 37087-2681
- Fax : (615) 784-4623
- Phone : (615) 784-4621
Second Address
- Thomas A Kowal
- 228 W Main St Ste B
- Lebanon, TN
- Zip : 37087-2681
- Fax : (615) 784-4623
- Phone : (615) 784-4621
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 30964 | TN |
National Provider Identifier
| NPI | 1043205008 |
|---|---|
| Provider Name | Thomas A Kowal |
| First Address | Lebanon, TN 37087-2681 |
| Second Address | Lebanon, TN 37087-2681 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2005 |
| Last Update Date | 22/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3832473 | (05) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.