Fowler, Cheryl R.

Fowler, Cheryl R. is an individual health care provider with primary practice located at 199 S Candy Ln Suite 1A, Cottonwood AZ 86326-4183. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fowler, Cheryl R. can be contacted via phone (928) 649-7969.

Contact Information

Primary practice address
199 S Candy Ln Suite 1A Cottonwood AZ 86326-4183
Phone: (928) 649-7969
Fax: (928) 649-7921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5344 Arizona

Profile Details

NPI number 1124367214
LBN Legal business name Fowler, Cheryl R.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2013
Last updated Jul 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124367214 NPPES
Arizona MEDICAID 789677

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