Fowlkes, Matthew Wayne

Fowlkes, Matthew Wayne is an individual health care provider with primary practice located at 2003 Forsythe Ave , Monroe LA 71201-3608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Fowlkes, Matthew Wayne can be contacted via phone (318) 388-2621.

Contact Information

Primary practice address
2003 Forsythe Ave Monroe LA 71201-3608
Phone: (318) 388-2621
Fax: (318) 388-2835
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 6460 Louisiana
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 3464-08 / OS-481-14 Mississippi

Profile Details

NPI number 1376705087
LBN Legal business name Fowlkes, Matthew Wayne
Credentials D.M.D., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Jul 14th, 2014 - about 11 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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