Fowler, James D

Fowler, James D is an individual health care provider with primary practice located at 5225 23Rd Ave S , Fargo ND 58104-7927. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Fowler, James D can be contacted via phone (701) 417-2575.

Contact Information

Primary practice address
5225 23Rd Ave S Fargo ND 58104-7927
Phone: (701) 417-2575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X PT19748 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0550030660 Vermont

Profile Details

NPI number 1194726596
LBN Legal business name Fowler, James D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jun 13th, 2023 - 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 1194726596 NPPES
Vermont Other 00059762 BCBS
Vermont MEDICAID 0002358 BCBS

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