Healthcare Provider Details

I. General information

NPI: 1891762431
Provider Name (Legal Business Name): JOSEPH E ROWANE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 10/05/2020
Certification Date: 10/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 W 26TH ST
ERIE PA
16508-1806
US

IV. Provider business mailing address

204 W 26TH ST
ERIE PA
16508-1806
US

V. Phone/Fax

Practice location:
  • Phone: 814-864-4755
  • Fax: 814-864-5430
Mailing address:
  • Phone: 814-864-4755
  • Fax: 814-864-5430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberOS009188L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberOS009188L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberOS009188L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: