Fowler, Melissa Sue

Fowler, Melissa Sue is an individual health care provider with primary practice located at 1814 Westchester Dr Ste 203 , High Point NC 27262-7369. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Fowler, Melissa Sue can be contacted via phone (336) 802-2025.

Contact Information

Primary practice address
1814 Westchester Dr Ste 203 High Point NC 27262-7369
Phone: (336) 802-2025
Fax: (336) 802-2026
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 001000050 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-00050 North Carolina

Profile Details

NPI number 1568472140
LBN Legal business name Fowler, Melissa Sue
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 12th, 2021 - about 3 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 1568472140 NPPES
North Carolina Other 84500 BCBS GROUP
North Carolina Other 2334668 BCBS GROUP
North Carolina MEDICAID 8984500 BCBS GROUP

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