Fowler, Brent Cody Makijarvi

Fowler, Brent Cody Makijarvi is an individual health care provider with primary practice located at 4140 Centennial Hills Blvd , Casper WY 82609-3265. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Fowler, Brent Cody Makijarvi can be contacted via phone (307) 265-7205.

Contact Information

Primary practice address
4140 Centennial Hills Blvd Casper WY 82609-3265
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14933A Wyoming
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 14933A Wyoming

Profile Details

NPI number 1528684339
LBN Legal business name Fowler, Brent Cody Makijarvi
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2020
Last updated Feb 29th, 2024 - about last year

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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