Fowler, Jeffrey B
Fowler, Jeffrey B is an individual health care provider with primary practice located at 314 E Albeni Hwy Suite 102, Priest River ID 83856-0729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fowler, Jeffrey B can be contacted via phone (208) 448-2321.Contact Information
Primary practice address
314 E Albeni Hwy Suite 102
Priest River ID 83856-0729
Phone: (208) 448-2321
Fax: (208) 448-1317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0-49 | Idaho |
Profile Details
| NPI number | 1093777856 |
|---|---|
| LBN Legal business name | Fowler, Jeffrey B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Jul 7th, 2010 - about 14 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 | 1093777856 | NPPES |
| Idaho | MEDICAID | 002406600 |
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