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
Fax: (615) 225-6381
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679572820 NPPES
West Virginia MEDICAID 0118140000

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