Fowler, Blaine Alsin
Fowler, Blaine Alsin is an individual health care provider with primary practice located at 8071 Cuyamaca St , Santee CA 92071. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fowler, Blaine Alsin can be contacted via phone (619) 568-8025.Contact Information
Primary practice address
8071 Cuyamaca St
Santee CA 92071
Phone: (619) 568-8025
Fax: (619) 568-8095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G36980 | California |
Profile Details
| NPI number | 1790758506 |
|---|---|
| LBN Legal business name | Fowler, Blaine Alsin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Oct 9th, 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 | 1790758506 | NPPES |
| California | MEDICAID | ZZZ36915Z |
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