Fowler, Corinne Alisa

Fowler, Corinne Alisa is an individual health care provider with primary practice located at 621 W Madrone St , Roseburg OR 97470-3090. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Fowler, Corinne Alisa can be contacted via phone (541) 440-3532.

Contact Information

Primary practice address
621 W Madrone St Roseburg OR 97470-3090
Fax: (541) 440-3554
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Nursing Service Providers / Licensed Practical Nurse 164W00000X 201030437LPN Oregon

Profile Details

NPI number 1699406710
LBN Legal business name Fowler, Corinne Alisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2022
Last updated Jun 20th, 2022 - about 2 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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