Fowler, Jacqueline Bernice

Fowler, Jacqueline Bernice is an individual health care provider with primary practice located at 8620 Maple Ave , Gary IN 46403-1423. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Group Psychotherapy, Other Service Providers / Acupuncturist, Other Service Providers / Reflexologist, Other Service Providers / Naturopath, Other Service Providers / Mechanotherapist. Other Service Providers / Mechanotherapist is her primary health care specialty. Fowler, Jacqueline Bernice can be contacted via phone (219) 963-2956.

Contact Information

Primary practice address
8620 Maple Ave Gary IN 46403-1423
Phone: (219) 963-2956
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Other Service Providers / Acupuncturist 171100000X 00000 Indiana
Other Service Providers / Reflexologist 173C00000X
Other Service Providers / Naturopath 175F00000X
Other Service Providers / Mechanotherapist 172M00000X Indiana

Profile Details

NPI number 1053582445
LBN Legal business name Fowler, Jacqueline Bernice
Credentials HAPP, LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2008
Last updated Mar 3rd, 2022 - about 2 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 1053582445 NPPES
Indiana Other MT209011898 LICENSED MASSAGE THERAPIST/ MECHANO THERAPIST
Indiana Other 00000 LICENSED MASSAGE THERAPIST/ MECHANO THERAPIST

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