Fowler, Bethany Christine
Fowler, Bethany Christine is an individual health care provider with primary practice located at 2901 Bridgeport Way W , University Place WA 98466-4614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fowler, Bethany Christine can be contacted via phone (253) 534-7000.Contact Information
Primary practice address
2901 Bridgeport Way W
University Place WA 98466-4614
Phone: (253) 534-7000
Fax: (253) 874-6089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60848615 | Washington |
Profile Details
| NPI number | 1205256336 |
|---|---|
| LBN Legal business name | Fowler, Bethany Christine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2014 |
| Last updated | Dec 3rd, 2020 - about 4 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 | 1205256336 | NPPES |
| Washington | MEDICAID | 2146044 |
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