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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629139464 | NPPES |
California | Other | MFC29966 | MFT LICENSE |
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