Fowler, Grace Elaine

Fowler, Grace Elaine is an sole proprietor health care provider with primary practice located at 626 Praire Street , Vincennes IN 47591-1060. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Fowler, Grace Elaine can be contacted via phone (812) 882-5524.

Contact Information

Primary practice address
626 Praire Street Vincennes IN 47591-1060
Phone: (812) 882-5524
Fax: (812) 882-5525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 02003008A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 02003008A Indiana

Profile Details

NPI number 1366550030
LBN Legal business name Fowler, Grace Elaine
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Mar 19th, 2009 - about 15 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 1366550030 NPPES
Indiana MEDICAID 200391740A

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