Fowler, Brian Zach

Fowler, Brian Zach is an individual health care provider with primary practice located at 908 W. 4Th North Street , Morristown TN 37814-3894. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Fowler, Brian Zach can be contacted via phone (423) 492-6200.

Contact Information

Primary practice address
908 W. 4Th North Street Morristown TN 37814-3894
Fax: (423) 492-6201
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 53446 Georgia

Profile Details

NPI number 1083673636
LBN Legal business name Fowler, Brian Zach
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Sep 5th, 2023 - about 2 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 1083673636 NPPES
Other 000000637445 ANTHEM BCBS
MEDICAID 1521996 ANTHEM BCBS

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