Fowler, Daniel T
Fowler, Daniel T is an individual health care provider with primary practice located at 3400 Lebanon Rd # 114 , Murfreesboro TN 37129-1392. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Fowler, Daniel T can be contacted via phone (615) 225-4899.Contact Information
Primary practice address
3400 Lebanon Rd # 114
Murfreesboro TN 37129-1392
Phone: (615) 225-4899
Fax: (615) 225-6381
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 15726 | West Virginia |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD7287 | Tennessee |
Profile Details
NPI number | 1679572820 |
---|---|
LBN Legal business name | Fowler, Daniel T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2005 |
Last updated | Oct 29th, 2018 - about 6 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 | 1679572820 | NPPES |
West Virginia | MEDICAID | 0118140000 |
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