Fowler, Matthew A

Fowler, Matthew A is an individual health care provider with primary practice located at 347 W Iowa Ave , Nampa ID 83686-2856. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Fowler, Matthew A can be contacted via phone (208) 468-9699.

Contact Information

Primary practice address
347 W Iowa Ave Nampa ID 83686-2856
Fax: (208) 461-9024
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X D-3264-EN Idaho

Profile Details

NPI number 1538257498
LBN Legal business name Fowler, Matthew A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - about 18 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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