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
Phone: (301) 607-0444
Fax: (301) 831-4495
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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