Fowler, Scott

Fowler, Scott is an individual health care provider with primary practice located at 105 W Stone Dr Ste 2B, Kingsport TN 37660-3256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fowler, Scott can be contacted via phone (423) 247-7500.

Contact Information

Primary practice address
105 W Stone Dr Ste 2B Kingsport TN 37660-3256
Phone: (423) 247-7500
Fax: (423) 245-4679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101235080 Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD31800 Tennessee

Profile Details

NPI number 1073516886
LBN Legal business name Fowler, Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Sep 12th, 2013 - about 11 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 1073516886 NPPES
Virginia MEDICAID 010169089
Virginia MEDICAID 3843403

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