Fowler, Jessica Laynne
Fowler, Jessica Laynne is an individual health care provider with primary practice located at 1013 Farmington Ave , West Hartford CT 06107-2181. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fowler, Jessica Laynne can be contacted via phone (620) 687-4038.Contact Information
Primary practice address
1013 Farmington Ave
West Hartford CT 06107-2181
Phone: (620) 687-4038
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2023004714 | Missouri |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3148 | Connecticut |
Profile Details
| NPI number | 1992347181 |
|---|---|
| LBN Legal business name | Fowler, Jessica Laynne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2019 |
| Last updated | Apr 12th, 2023 - about last year |
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 | 1992347181 | NPPES |
| Missouri | Other | 2023004714 | STATE LICENSE |
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