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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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