Provider Demographics
NPI:1952705147
Name:MCCOWIN-WEST, BARBARA DENISE
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:DENISE
Last Name:MCCOWIN-WEST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 VICTOR ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48203-3127
Mailing Address - Country:US
Mailing Address - Phone:313-367-6550
Mailing Address - Fax:313-895-2867
Practice Address - Street 1:77 VICTOR ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:MI
Practice Address - Zip Code:48203-3127
Practice Address - Country:US
Practice Address - Phone:313-367-6550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-16
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other