Fowler, Sandra

Fowler, Sandra is an individual health care provider with primary practice located at 24 Antrim Commons Dr , Greencastle PA 17225-1623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fowler, Sandra can be contacted via phone (717) 597-5553.

Contact Information

Primary practice address
24 Antrim Commons Dr Greencastle PA 17225-1623
Phone: (717) 597-5553
Fax: (717) 597-5522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0050738 Maryland

Profile Details

NPI number 1417901752
LBN Legal business name Fowler, Sandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Feb 22nd, 2022 - about 2 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 1417901752 NPPES
Maryland MEDICAID 415601000
Maryland MEDICAID 785200200
Maryland Other P00150022

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