Fowler, Amanda Horne
Fowler, Amanda Horne is an individual health care provider with primary practice located at 2500 N State St Dept. Of Medicine, Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Fowler, Amanda Horne can be contacted via phone (601) 984-5601.Contact Information
Primary practice address
2500 N State St Dept. Of Medicine
Jackson MS 39216-4500
Phone: (601) 984-5601
Fax: (601) 984-6665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 22571 | Mississippi |
Profile Details
| NPI number | 1215224886 |
|---|---|
| LBN Legal business name | Fowler, Amanda Horne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2011 |
| Last updated | Nov 17th, 2016 - about 10 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 | 1215224886 | NPPES |
| Mississippi | MEDICAID | 00886302 |
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2500 N State St Dept. Of Medicine, Jackson MS 39216-4500