Fowler, Burt N

Fowler, Burt N is an individual health care provider with primary practice located at 175 S Union Blvd #115, Colorado Springs CO 80910-3113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Fowler, Burt N can be contacted via phone (719) 365-5445.

Contact Information

Primary practice address
175 S Union Blvd #115 Colorado Springs CO 80910-3113
Phone: (719) 365-5445
Fax: (719) 365-5530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 44178 Colorado

Profile Details

NPI number 1043246366
LBN Legal business name Fowler, Burt N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated May 7th, 2008 - about 16 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 1043246366 NPPES
Colorado MEDICAID 42653371

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