Fow, Jonathan E
Fow, Jonathan E is an individual health care provider with primary practice located at 850 Fair Oaks Ave Ste 100 , Arroyo Grande CA 93420. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Fow, Jonathan E can be contacted via phone (805) 473-0700.Contact Information
Primary practice address
850 Fair Oaks Ave Ste 100
Arroyo Grande CA 93420
Phone: (805) 473-0700
Fax: (805) 473-5931
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | A78523 | California |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A78523 | California |
Profile Details
NPI number | 1699792523 |
---|---|
LBN Legal business name | Fow, Jonathan E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 16th, 2006 |
Last updated | Nov 2nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699792523 | NPPES |
California | MEDICAID | 00A785230 | |
California | Other | 00A785230 | |
California | Other | 7503617 |
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