Fowlkes, Jonathan William

Fowlkes, Jonathan William is an individual health care provider with primary practice located at 700 W Kent Ave , Missoula MT 59801-6772. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Fowlkes, Jonathan William can be contacted via phone (406) 541-3937.

Contact Information

Primary practice address
700 W Kent Ave Missoula MT 59801-6772
Phone: (406) 541-3937
Fax: (406) 541-3811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 60848 Montana
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD-44083 Iowa
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1720346844
LBN Legal business name Fowlkes, Jonathan William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2012
Last updated Jun 1st, 2018 - about 8 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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