Fowble, Coleman Deane

Fowble, Coleman Deane is an individual health care provider with primary practice located at 1910 Blanding St , Columbia SC 29201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Fowble, Coleman Deane can be contacted via phone (803) 256-4107.

Contact Information

Primary practice address
1910 Blanding St Columbia SC 29201
Fax: (803) 253-6655
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 22484 South Carolina

Profile Details

NPI number 1447251483
LBN Legal business name Fowble, Coleman Deane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Oct 15th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447251483 NPPES
South Carolina MEDICAID 224849

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