Fowler, Brian T

Fowler, Brian T is an sole proprietor health care provider with primary practice located at 930 Madison Ave Ste 200 , Memphis TN 38103-3452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fowler, Brian T can be contacted via phone (901) 448-6650.

Contact Information

Primary practice address
930 Madison Ave Ste 200 Memphis TN 38103-3452
Phone: (901) 448-6650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 48454 Tennessee

Profile Details

NPI number 1093987893
LBN Legal business name Fowler, Brian T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2008
Last updated Feb 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093987893 NPPES
Mississippi MEDICAID 05372219
Mississippi MEDICAID 1093987893
Mississippi MEDICAID 003181478A
Mississippi MEDICAID 1528624
Mississippi MEDICAID 182749
Mississippi MEDICAID 193108001

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