Fowler, Cephus Ronnell

Fowler, Cephus Ronnell is an sole proprietor health care provider with primary practice located at 228 Broadway St , Vallejo CA 94590-4519. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Fowler, Cephus Ronnell can be contacted via phone (707) 553-5331.

Contact Information

Primary practice address
228 Broadway St Vallejo CA 94590-4519
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X MCF29966 California

Profile Details

NPI number 1629139464
LBN Legal business name Fowler, Cephus Ronnell
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 18 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 1629139464 NPPES
California Other MFC29966 MFT LICENSE

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