Fowler, Jodie M
Fowler, Jodie M is an individual health care provider with primary practice located at 5400 S Pennsylvania Ave , Lansing MI 48911-4049. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Fowler, Jodie M can be contacted via phone (517) 393-7325.Contact Information
Primary practice address
5400 S Pennsylvania Ave
Lansing MI 48911-4049
Phone: (517) 393-7325
Fax: (517) 393-2320
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 5201005813 | Michigan |
Profile Details
NPI number | 1477759363 |
---|---|
LBN Legal business name | Fowler, Jodie M |
Credentials | Occupational Therapist (OT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 26th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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 | 1477759363 | NPPES |
Michigan | Other | 30658 | BLUE CROSS |
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