Fowler, Sandra J

Fowler, Sandra J is an individual health care provider with primary practice located at 720 N Pine St , Spartanburg SC 29303-3127. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fowler, Sandra J can be contacted via phone (864) 560-5800.

Contact Information

Primary practice address
720 N Pine St Spartanburg SC 29303-3127
Fax: (864) 592-0586
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X APN676 South Carolina

Profile Details

NPI number 1841254398
LBN Legal business name Fowler, Sandra J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 8th, 2007 - about 19 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 1841254398 NPPES
South Carolina MEDICAID AN0149

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