Fowzer, Sierra Rose

Fowzer, Sierra Rose is an individual health care provider with primary practice located at 2580 Lake Tahoe Blvd Ste D , South Lake Tahoe CA 96150. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Fowzer, Sierra Rose can be contacted via phone (530) 626-3105.

Contact Information

Primary practice address
2580 Lake Tahoe Blvd Ste D South Lake Tahoe CA 96150
Phone: (530) 626-3105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1992274542
LBN Legal business name Fowzer, Sierra Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2018
Last updated May 23rd, 2023 - about last year

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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