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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013913631 | NPPES |
| North Carolina | Other | 33403 | BLUECROSS BLUESHIELD |
| North Carolina | MEDICAID | 8933403 | BLUECROSS BLUESHIELD |
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