Fowler, Adam M
Fowler, Adam M is an individual health care provider with primary practice located at 930 W Main St , Bridgeport WV 26330-1673. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fowler, Adam M can be contacted via phone (304) 842-7568.Contact Information
Primary practice address
930 W Main St
Bridgeport WV 26330-1673
Phone: (304) 842-7568
Fax: (304) 842-2202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3490 | West Virginia |
Profile Details
| NPI number | 1255439378 |
|---|---|
| LBN Legal business name | Fowler, Adam M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1255439378 | NPPES |
| West Virginia | Other | 3810001856 | WV DENTAL MEDICAL CARD |
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