Fowler, Stephen Martin

Fowler, Stephen Martin is an individual health care provider with primary practice located at 6 Way Rd , Middlefield CT 06455-1080. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Nutrition, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Fowler, Stephen Martin can be contacted via phone (860) 349-7034.

Contact Information

Primary practice address
6 Way Rd Middlefield CT 06455-1080
Phone: (860) 349-7034
Fax: (860) 349-7093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 001118 Connecticut
Chiropractic Providers / Nutrition 111NN1001X 001118 Connecticut
Chiropractic Providers / Sports Physician 111NS0005X 001118 Connecticut

Profile Details

NPI number 1689660052
LBN Legal business name Fowler, Stephen Martin
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 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 1689660052 NPPES
Connecticut Other 050001118CT01 BLUE SHIELD ID

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