Fowler, Carl

Fowler, Carl is an individual health care provider with primary practice located at 1305 N Oakland Blvd Er Department, Waterford MI 48327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Fowler, Carl can be contacted via phone (248) 666-9000.

Contact Information

Primary practice address
1305 N Oakland Blvd Er Department Waterford MI 48327
Phone: (248) 666-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X CF045243 Michigan

Profile Details

NPI number 1417989476
LBN Legal business name Fowler, Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated May 5th, 2011 - about 13 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 1417989476 NPPES
Michigan MEDICAID 104195483
Michigan Other CF045243

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