Fowler, Ellen Joy

Fowler, Ellen Joy is an individual health care provider with primary practice located at 1210 W Saginaw St 2Nd Floor, Lansing MI 48915-1927. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Fowler, Ellen Joy can be contacted via phone (517) 364-7575.

Contact Information

Primary practice address
1210 W Saginaw St 2Nd Floor Lansing MI 48915-1927
Phone: (517) 364-7575
Fax: (517) 364-7560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704092592 Michigan

Profile Details

NPI number 1043300841
LBN Legal business name Fowler, Ellen Joy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Dec 31st, 2007 - about 17 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 1043300841 NPPES
Michigan Other 5008761270 BCBS INDIVIDUAL PIN

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