Fowler, Jason Cleo

Fowler, Jason Cleo is an individual health care provider with primary practice located at 7440 Woodward Ave Suite K, Woodridge IL 60517-2657. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fowler, Jason Cleo can be contacted via phone (630) 324-4960.

Contact Information

Primary practice address
7440 Woodward Ave Suite K Woodridge IL 60517-2657
Phone: (630) 324-4960
Fax: (630) 324-4965
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-010938 Illinois

Profile Details

NPI number 1992995070
LBN Legal business name Fowler, Jason Cleo
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Jul 23rd, 2015 - about 9 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 1992995070 NPPES
Missouri Other 000000570383 ANTHEM BCBS
Missouri Other P00655474 ANTHEM BCBS

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