Fowler, Walter Earle

Fowler, Walter Earle is an individual health care provider with primary practice located at 4205 Ben Franklin Blvd , Durham NC 27704-2143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fowler, Walter Earle can be contacted via phone (919) 477-6900.

Contact Information

Primary practice address
4205 Ben Franklin Blvd Durham NC 27704-2143
Phone: (919) 477-6900
Fax: (919) 477-5081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31722 North Carolina

Profile Details

NPI number 1013913631
LBN Legal business name Fowler, Walter Earle
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Nov 7th, 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 1013913631 NPPES
North Carolina Other 33403 BLUECROSS BLUESHIELD
North Carolina MEDICAID 8933403 BLUECROSS BLUESHIELD

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