Fowler, Joseph L

Fowler, Joseph L is an individual health care provider with primary practice located at 500 Sw Ramsey Ave , Grants Pass OR 97527-5543. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Fowler, Joseph L can be contacted via phone (541) 472-7267.

Contact Information

Primary practice address
500 Sw Ramsey Ave Grants Pass OR 97527-5543
Phone: (541) 472-7267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 63750 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 201408269CRNA Oregon

Profile Details

NPI number 1811079528
LBN Legal business name Fowler, Joseph L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Dec 11th, 2014 - about 11 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 1811079528 NPPES
Iowa Other P00656985 RR MEDICARE
Iowa MEDICAID 1811079528 RR MEDICARE
Iowa Other 1811079528 RR MEDICARE

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