Fowlkes, William C

Fowlkes, William C is an individual health care provider with primary practice located at 67 Thomas Johnson Dr Suite 4, Frederick MD 21702-4863. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Fowlkes, William C can be contacted via phone (301) 607-0444.

Contact Information

Primary practice address
67 Thomas Johnson Dr Suite 4 Frederick MD 21702-4863
Fax: (301) 831-4495
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0067685 Maryland
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X D0067685 Maryland

Profile Details

NPI number 1760588263
LBN Legal business name Fowlkes, William C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Dec 20th, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760588263 NPPES
Other NPI MEDICARE - COMMUNITY RADIOLOGY ASSOCIATES
Other NPI MEDICARE - COMMUNITY RADIOLOGY ASSOCIATES
Other P0064443 MEDICARE - COMMUNITY RADIOLOGY ASSOCIATES
Other P00644447 MEDICARE - COMMUNITY RADIOLOGY ASSOCIATES
MEDICAID 415144500 MEDICARE - COMMUNITY RADIOLOGY ASSOCIATES
Other NPI MEDICARE - COMMUNITY RADIOLOGY ASSOCIATES
MEDICAID NPI MEDICARE - COMMUNITY RADIOLOGY ASSOCIATES

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