Fowler, Reginald Jaye
Fowler, Reginald Jaye is an individual health care provider with primary practice located at 3001 Lyndhurst Ave , Winston-Salem NC 27103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Fowler, Reginald Jaye can be contacted via phone (336) 765-0383.Contact Information
Primary practice address
3001 Lyndhurst Ave
Winston-Salem NC 27103
Phone: (336) 765-0383
Fax: (336) 768-1737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 200301462 | North Carolina |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 200301462 | North Carolina |
Profile Details
| NPI number | 1386626240 |
|---|---|
| LBN Legal business name | Fowler, Reginald Jaye |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Nov 27th, 2023 - about last year |
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 | 1386626240 | NPPES |
| North Carolina | MEDICAID | 891351F |
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