Fowler, Jeremy R

Fowler, Jeremy R is an individual health care provider with primary practice located at 4663 Scotts Valley Dr , Scotts Valley CA 95066-4202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fowler, Jeremy R can be contacted via phone (831) 458-6330.

Contact Information

Primary practice address
4663 Scotts Valley Dr Scotts Valley CA 95066-4202
Phone: (831) 458-6330
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C158759 California

Profile Details

NPI number 1922206143
LBN Legal business name Fowler, Jeremy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Jan 11th, 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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