Fowler, Jodie M

Fowler, Jodie M is an individual health care provider with primary practice located at 5400 S Pennsylvania Ave , Lansing MI 48911-4049. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Fowler, Jodie M can be contacted via phone (517) 393-7325.

Contact Information

Primary practice address
5400 S Pennsylvania Ave Lansing MI 48911-4049
Phone: (517) 393-7325
Fax: (517) 393-2320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5201005813 Michigan

Profile Details

NPI number 1477759363
LBN Legal business name Fowler, Jodie M
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Jul 8th, 2007 - about 19 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 1477759363 NPPES
Michigan Other 30658 BLUE CROSS

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