Fowler, Paul Byron

Fowler, Paul Byron is an individual health care provider with primary practice located at 5601 Loch Raven Blvd , Baltimore MD 21239-2905. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fowler, Paul Byron can be contacted via phone (410) 532-5258.

Contact Information

Primary practice address
5601 Loch Raven Blvd Baltimore MD 21239-2905
Fax: (410) 532-5276
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X DOO44314 Maryland

Profile Details

NPI number 1316940588
LBN Legal business name Fowler, Paul Byron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated May 27th, 2010 - about 14 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 1316940588 NPPES
Maryland MEDICAID 48452

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