Fowler, Dorian E

Fowler, Dorian E is an sole proprietor health care provider with primary practice located at 881 Kendall Dr , Grants Pass OR 97527-5456. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Fowler, Dorian E can be contacted via phone (319) 850-7607.

Contact Information

Primary practice address
881 Kendall Dr Grants Pass OR 97527-5456
Phone: (319) 850-7607
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 201408271CRNA Oregon

Profile Details

NPI number 1588815138
LBN Legal business name Fowler, Dorian E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2008
Last updated Jul 8th, 2015 - about 10 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 1588815138 NPPES
Iowa Other 1588815138 WELLMARK BLUE CROSS BLUE SHIELD
Iowa MEDICAID 1588815138 WELLMARK BLUE CROSS BLUE SHIELD
Iowa Other P00662680 WELLMARK BLUE CROSS BLUE SHIELD

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