Fowler, Debra L

Fowler, Debra L is an individual health care provider with primary practice located at 13501 Ne 28Th St , Vancouver WA 98682-8091. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Fowler, Debra L can be contacted via phone (360) 604-6704.

Contact Information

Primary practice address
13501 Ne 28Th St Vancouver WA 98682-8091
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN00146185 Washington

Profile Details

NPI number 1750842050
LBN Legal business name Fowler, Debra L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2019
Last updated Mar 28th, 2019 - about 5 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 1750842050 NPPES
Washington MEDICAID 1245311141

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