Fowler, Raymond D.

Fowler, Raymond D. is an individual health care provider with primary practice located at 4300 Bartlett St South Penisula Hospital, Homer AK 99603-7005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fowler, Raymond D. can be contacted via phone (907) 235-8101.

Contact Information

Primary practice address
4300 Bartlett St South Penisula Hospital Homer AK 99603-7005
Phone: (907) 235-8101
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4624 Alaska
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 6970A Wyoming
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 30104 Arizona

Profile Details

NPI number 1104808070
LBN Legal business name Fowler, Raymond D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104808070 NPPES
Alaska MEDICAID MD46242

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