Fowler, Gerard Joseph

Fowler, Gerard Joseph is an sole proprietor health care provider with primary practice located at 280 Pleasant St Unit #3, Concord NH 03301-2553. He recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as his primary health care specialty. Fowler, Gerard Joseph can be contacted via phone (603) 228-7159.

Contact Information

Primary practice address
280 Pleasant St Unit #3 Concord NH 03301-2553
Phone: (603) 228-7159
Fax: (603) 225-4265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1912913856
LBN Legal business name Fowler, Gerard Joseph
Credentials CO, BOCO, C. PED.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 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 1912913856 NPPES
New Hampshire Other 4665514 AETNA
New Hampshire Other 706167 AETNA
New Hampshire MEDICAID 30761501 AETNA
New Hampshire Other 12Y002242NH01 AETNA
New Hampshire Other 2264576 AETNA

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