Fowler, Craig B

Fowler, Craig B is an individual health care provider with primary practice located at 800 Rose St Mn530 Uk Oral Pathology Lab, Ukmc Rm, Lexington KY 40536-0297. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Fowler, Craig B can be contacted via phone (959) 323-5515.

Contact Information

Primary practice address
800 Rose St Mn530 Uk Oral Pathology Lab, Ukmc Rm Lexington KY 40536-0297
Phone: (959) 323-5515
Fax: (859) 323-2525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 8980 Kentucky

Profile Details

NPI number 1740253509
LBN Legal business name Fowler, Craig B
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Aug 6th, 2013 - about 12 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 1740253509 NPPES
Kentucky MEDICAID 7100183680

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