Fowler, Matthew

Fowler, Matthew is an sole proprietor health care provider with primary practice located at 406 The Hl , Portsmouth NH 03801-3736. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Fowler, Matthew can be contacted via phone (978) 432-9560.

Contact Information

Primary practice address
406 The Hl Portsmouth NH 03801-3736
Phone: (978) 432-9560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X New Hampshire
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 219 New Hampshire

Profile Details

NPI number 1053662163
LBN Legal business name Fowler, Matthew
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2012
Last updated May 1st, 2019 - about 5 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 1053662163 NPPES
New Hampshire MEDICAID 99003227

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