Fowler, Glenn W

Fowler, Glenn W is an individual health care provider with primary practice located at 101 The City Dr S , Orange CA 92868-3201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Fowler, Glenn W can be contacted via phone (714) 456-8068.

Contact Information

Primary practice address
101 The City Dr S Orange CA 92868-3201
Phone: (714) 456-8068
Fax: (714) 456-3765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X C27260 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C27260 California

Profile Details

NPI number 1104848274
LBN Legal business name Fowler, Glenn W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Sep 11th, 2025 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104848274 NPPES
California MEDICAID 00C272600

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