Fowler, Alicia
Fowler, Alicia is an individual health care provider with primary practice located at 9660 Wicker Ave , Saint John IN 46373-9487. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fowler, Alicia can be contacted via phone (219) 365-1177.Contact Information
Primary practice address
9660 Wicker Ave
Saint John IN 46373-9487
Phone: (219) 365-1177
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71008715A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F10180063 | Indiana |
Profile Details
| NPI number | 1093284838 |
|---|---|
| LBN Legal business name | Fowler, Alicia |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2018 |
| Last updated | Sep 4th, 2019 - about 6 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 | 1093284838 | NPPES |
| Indiana | MEDICAID | 1285182147 |
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