Fowler, Nicole
Fowler, Nicole is an individual health care provider with primary practice located at 1640 G St , Springfield OR 97477-4226. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Fowler, Nicole can be contacted via phone (541) 682-3550.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | Oregon |
Profile Details
NPI number | 1093814634 |
---|---|
LBN Legal business name | Fowler, Nicole |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093814634 | NPPES |
Oregon | MEDICAID | 227624 |
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