Fowler, Melanie
Fowler, Melanie is an individual health care provider with primary practice located at 4906 Ambassador Caffery Pkwy Bldg O, Lafayette LA 70508-6916. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Fowler, Melanie can be contacted via phone (337) 981-4350.Contact Information
Primary practice address
4906 Ambassador Caffery Pkwy Bldg O
Lafayette LA 70508-6916
Phone: (337) 981-4350
Fax: (337) 981-4352
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 5402 | Louisiana |
Profile Details
NPI number | 1861421224 |
---|---|
LBN Legal business name | Fowler, Melanie |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2006 |
Last updated | Jul 10th, 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 | 1861421224 | NPPES |
Louisiana | MEDICAID | 1854026 | |
Louisiana | Other | 43851104030 |
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