Fowlis, Mark Richardson
Fowlis, Mark Richardson is an individual health care provider with primary practice located at 11777 Sebastian Way Ste 102 , Rancho Cucamonga CA 91730. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Fowlis, Mark Richardson can be contacted via phone (909) 838-0044.Contact Information
Primary practice address
11777 Sebastian Way Ste 102
Rancho Cucamonga CA 91730
Phone: (909) 838-0044
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
NPI number | 1285904326 |
---|---|
LBN Legal business name | Fowlis, Mark Richardson |
Credentials | CAADE |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 6th, 2012 |
Last updated | Jan 6th, 2012 - about 12 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.
Popular Providers
-
Mann, Kathryn
9500 Haven Ave Ste 100 , Rancho Cucamonga CA 91730-5871 -
Maynard, Michael Ray
7828 Day Creek Blvd Apt 131 , Rancho Cucamonga CA 91739-8570 -
Riness, Steven A.
7339 Shelby Pl Unit # 11, Rancho Cucamonga CA 91730 -
Lemmon, Richard Steven
11777 Sebastian Way Ste 102 , Rancho Cucamonga CA 91730-0707 -
Evans, Jacqueline
9375 Archibald Ave Suite 204, Rancho Cucamonga CA 91730-5729 -
Strong, Quinlan
9375 Archibald Ave Suite 204, Rancho Cucamonga CA 91730-5729 -
Toutant, Dennis
9375 Archibald Ave Suite 204, Rancho Cucamonga CA 91730-5729 -
Quintana, Christopher
9375 Archibald Ave Suite 204, Rancho Cucamonga CA 91730-5729