Fowler, Josephine Rebecca

Fowler, Josephine Rebecca is an individual health care provider with primary practice located at 279 Lincoln St , Worcester MA 01605-2120. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fowler, Josephine Rebecca can be contacted via phone (508) 334-8830.

Contact Information

Primary practice address
279 Lincoln St Worcester MA 01605-2120
Phone: (508) 334-8830
Fax: (508) 334-8835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 159612 Massachusetts

Profile Details

NPI number 1467425033
LBN Legal business name Fowler, Josephine Rebecca
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Nov 16th, 2020 - about 4 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 1467425033 NPPES
Massachusetts MEDICAID 3201082
Massachusetts Other 8K5172

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