Fowler, Jerold Todd

Fowler, Jerold Todd is an individual health care provider with primary practice located at 2870B S Main St , Harrisonburg VA 22801-2664. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fowler, Jerold Todd can be contacted via phone (540) 434-2423.

Contact Information

Primary practice address
2870B S Main St Harrisonburg VA 22801-2664
Phone: (540) 434-2423
Fax: (540) 801-0493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401007959 Virginia

Profile Details

NPI number 1760538565
LBN Legal business name Fowler, Jerold Todd
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 18 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 1760538565 NPPES
Virginia Other 394207 ANTHEM
Virginia Other 823297 ANTHEM
Virginia Other 7959 ANTHEM

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